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Hawaii rates for HCPCS R0075

Transportation of portable x-ray equipment and personnel to home or nursing home, per trip to facility or location, more than one patient seen

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.95 / $158.49 / $234.42
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.97 / $181.97 / $181.97
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$239.88 / $251.19 / $251.19
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$263.03 / $288.40 / $331.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.18 / $223.87 / $288.40