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Hawaii rates for HCPCS 86789

Antibody; West Nile virus

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.87 / $13.45 / $17.27
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.10 / $12.10 / $12.10
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.39 / $17.27 / $17.27
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.12 / $28.08 / $34.18
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.39 / $17.27 / $21.59
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.04 / $17.27 / $27.94
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.23 / $26.51 / $37.20