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Hawaii rates for HCPCS 84275

Sialic acid

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.09 / $12.57 / $16.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.60 / $16.13 / $16.13
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.86 / $28.84 / $33.74
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.44 / $16.13 / $20.16
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.64 / $16.13 / $26.08
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.05 / $24.40 / $33.79