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Hawaii rates for HCPCS 87109

Culture, mycoplasma, any source

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.70 / $14.39 / $18.47
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.72 / $13.72 / $13.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.17 / $18.47 / $18.47
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.02 / $33.01 / $38.64
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.39 / $18.47 / $23.09
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.46 / $18.47 / $29.87
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.23 / $27.95 / $38.70