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Hawaii rates for HCPCS V2627

Scleral cover shell

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$975.90 / $1,354.22 / $1,708.16
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$742.34 / $742.34 / $1,827.34
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,400.00 / $5,654.45 / $5,654.45
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,325.71 / $2,325.71 / $2,325.71
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$604.12 / $1,827.34 / $4,059.00
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,247.18 / $1,384.04 / $1,581.18