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Hawaii rates for HCPCS 69740

Suture facial nerve, intratemporal, with or without graft or decompression; lateral to geniculate ganglion

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,861.43 / $2,747.00 / $6,084.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,001.46 / $1,100.88 / $1,100.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,178.02 / $1,462.15 / $1,462.15
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,565.11 / $1,758.44 / $2,074.96
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,286.69 / $1,403.66 / $1,637.61
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,912.00 / $2,912.00 / $2,912.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,193.10 / $1,462.15 / $1,867.89
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,415.00 / $3,692.19 / $9,324.00