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Hawaii rates for HCPCS 85290

Clotting; factor XIII (fibrin stabilizing)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.48 / $15.28 / $19.61
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.96 / $19.61 / $19.61
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.58 / $35.04 / $41.01
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.34 / $19.61 / $24.51
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.86 / $19.61 / $31.72
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.30 / $29.68 / $41.09