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Hawaii rates for HCPCS 67030

Discission of vitreous strands (without removal), pars plana approach

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$864.50 / $2,747.00 / $2,898.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$624.41 / $624.41 / $624.41
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$622.04 / $719.95 / $863.94
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$754.97 / $848.23 / $7,637.00
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$633.55 / $691.15 / $806.34
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,981.00 / $1,981.00 / $1,981.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$507.64 / $691.96 / $725.18
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$515.91 / $1,500.00 / $3,725.00