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Hawaii rates for HCPCS V2625

Enlargement of ocular prosthesis

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$228.47 / $388.99 / $497.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$213.23 / $213.23 / $606.12
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,150.00 / $1,204.19 / $1,204.19
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$771.43 / $771.43 / $771.43
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.53 / $545.51 / $841.50
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$413.16 / $459.08 / $524.47