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Hawaii rates for HCPCS 85175

Clot Lysis Time Whole Blood Dilution

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.80 / $19.05 / $24.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.53 / $24.44 / $24.44
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.76 / $11.96 / $21.33
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.37 / $24.44 / $30.56
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.35 / $24.44 / $30.56
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.99 / $11.11 / $29.94