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Hawaii rates for HCPCS 65275

Repair of laceration; cornea, nonperforating, with or without removal foreign body

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,635.55 / $2,747.00 / $5,484.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$519.04 / $519.04 / $672.33
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$657.42 / $760.90 / $913.08
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$695.63 / $818.39 / $4,284.89
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$514.65 / $669.59 / $760.90
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,155.00 / $2,155.00 / $2,155.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$545.96 / $732.33 / $965.58
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$517.22 / $3,098.10 / $8,000.00