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Hawaii rates for HCPCS 67115

Release of encircling material (posterior segment)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,157.88 / $2,747.00 / $3,883.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$560.05 / $560.05 / $560.05
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$553.40 / $640.51 / $768.62
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$664.44 / $746.51 / $2,540.00
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$563.65 / $614.89 / $717.37
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
$466.53 / $585.19 / $647.55
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$515.03 / $2,040.00 / $5,304.00