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Hawaii rates for HCPCS 84150

Prostaglandin, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.46 / $39.04 / $50.12
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.86 / $57.36 / $94.56
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.82 / $50.12 / $50.12
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.61 / $53.57 / $62.68
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.77 / $50.12 / $62.66
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.54 / $50.12 / $62.66
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.61 / $49.60 / $73.09