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Hawaii rates for HCPCS 78261

Gastric mucosa imaging

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$200.38 / $227.10 / $267.18
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$137.86 / $137.86 / $137.86
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$202.79 / $202.79 / $410.38
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.19 / $297.57 / $321.35
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$217.70 / $237.49 / $247.39
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$267.18 / $297.08 / $354.89
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$245.30 / $317.33 / $550.74