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Hawaii rates for HCPCS 61690

Intracranial Arven Malfrmj Dural Smpl

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
$1,937.99 / $1,937.99 / $2,209.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,205.21 / $2,604.85 / $2,604.85
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,764.85 / $3,106.40 / $3,665.55
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,292.27 / $2,500.66 / $2,917.43
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
$2,125.56 / $2,604.85 / $3,355.41
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.27 / $2,100.81 / $2,845.21