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Hawaii rates for HCPCS 78140

Labeled red cell sequestration, differential organ/tissue (eg, splenic and/or hepatic)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$119.49 / $135.41 / $159.31
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.65 / $75.65 / $75.65
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$159.31 / $191.09 / $215.86
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.96 / $250.41 / $286.27
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$129.81 / $141.61 / $147.51
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$159.31 / $191.37 / $212.85
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$146.25 / $203.70 / $342.99