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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
$13.49 / $16.22 / $19.50
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.01 / $15.14 / $15.14
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.88 / $12.88 / $19.50
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.18 / $36.31 / $39.81
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.22 / $19.50 / $24.55
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.92 / $22.91 / $31.62
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.20 / $29.51 / $40.74