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Hawaii rates for HCPCS 84376

Sugars Mono Di&Oligos 1 Qualitataive Each Spec

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.54 / $5.14 / $6.60
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.32 / $6.60 / $6.60
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.96 / $11.81 / $13.80
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.50 / $6.60 / $8.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.31 / $6.60 / $10.67
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.16 / $9.92 / $13.84