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Hawaii rates for HCPCS 92015

Determination of refractive state

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.92 / $32.96 / $59.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.59 / $15.58 / $18.09
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.53 / $16.50 / $18.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.14 / $23.66 / $34.08
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.50 / $12.75 / $15.00