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Hawaii rates for HCPCS G0166

External counterpulsation, per treatment session

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$148.81 / $148.81 / $148.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.43 / $138.43 / $138.43
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$150.16 / $169.69 / $187.71
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$121.81 / $132.88 / $155.04
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.95 / $138.43 / $178.17
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$88.42 / $107.37 / $189.27