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Hawaii rates for HCPCS V2624

Polishing/Resurfacing Of Ocular Prosthesis

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.58 / $46.12 / $85.31
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.07 / $35.07 / $51.25
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $104.71 / $104.71
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.23 / $65.23 / $65.23
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.54 / $51.25 / $74.70
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.82 / $40.79 / $44.35