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Hawaii rates for HCPCS 65855

Trabeculoplasty by laser surgery

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,513.56 / $3,890.45 / $3,890.45
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$223.87 / $288.40 / $380.19
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$2,818.38 / $2,818.38 / $2,818.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$269.15 / $269.15 / $316.23
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$354.81 / $457.09 / $2,691.53
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.98 / $288.40 / $346.74
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,096.48 / $1,096.48 / $1,096.48
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$251.19 / $316.23 / $407.38
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$229.09 / $1,621.81 / $3,981.07