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Hawaii rates for HCPCS 75801

Lymphangiography, extremity only, unilateral, radiological supervision and interpretation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$41.72 / $47.28 / $55.62
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$48.31 / $48.31 / $48.31
Kaiser Permanente
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$45.32 / $49.44 / $57.68