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Hawaii rates for HCPCS 84255

Selenium

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.06 / $23.87 / $30.64
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.24 / $22.24 / $35.06
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.22 / $30.64 / $30.64
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.52 / $54.76 / $64.06
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.53 / $30.64 / $38.29
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.72 / $30.64 / $49.56
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.59 / $46.37 / $64.20