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Hawaii rates for HCPCS 61613

Obliteration of carotid aneurysm, arteriovenous malformation, or carotid-cavernous fistula by dissection within cavernous sinus

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,747.00 / $2,747.00 / $2,747.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,909.54 / $2,909.54 / $3,339.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,320.29 / $3,916.05 / $3,916.05
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,225.27 / $4,747.22 / $5,601.72
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,446.12 / $3,759.41 / $4,385.97
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,446.00 / $2,446.00 / $2,446.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,195.50 / $3,916.05 / $5,111.87
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.27 / $3,081.48 / $4,348.08