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Hawaii rates for HCPCS C2622

Prosthesis, penile, noninflatable

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,720.00 / $4,720.00 / $4,720.00
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,849.68 / $7,610.75 / $7,610.75