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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
$478.63 / $870.96 / $870.96
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.98 / $33.88 / $33.88
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.47 / $3.47 / $3.63
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.47 / $3.47 / $3.47