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Hawaii rates for HCPCS A4301

Implantable access total catheter, port/reservoir (e.g., venous, arterial, epidural, subarachnoid, peritoneal, etc.)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$483.00 / $868.20 / $868.20
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.00 / $1.00 / $1.00
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.43 / $3.59 / $3.59
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.43 / $3.43 / $3.43