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Hawaii rates for HCPCS 74355

Percutaneous placement of enteroclysis tube, radiological supervision and interpretation

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.13 / $126.30 / $160.47
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$124.62 / $174.36 / $296.62
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.62 / $170.17 / $190.31
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.37 / $48.41 / $56.48
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.15 / $162.63 / $228.09
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.28 / $62.74 / $216.03