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Hawaii rates for HCPCS 84392

Sulfate, urine

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.53 / $5.13 / $6.59
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.23 / $4.23 / $4.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.73 / $6.59 / $6.59
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.73 / $10.19 / $11.95
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.49 / $6.59 / $8.24
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.31 / $6.59 / $9.22
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.15 / $8.63 / $12.28