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Hawaii rates for HCPCS 67975

Reconstruction of eyelid, full thickness by transfer of tarsoconjunctival flap from opposing eyelid; second stage

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,324.03 / $2,747.00 / $4,456.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$603.07 / $719.66 / $1,105.02
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$747.52 / $865.19 / $1,038.23
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$900.50 / $1,011.74 / $7,637.00
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$761.37 / $830.58 / $969.01
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
$643.39 / $840.09 / $1,109.51
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$678.53 / $2,582.96 / $6,124.00