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Hawaii rates for RC 0189

Leave Of Absence/Other

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,200.00 / $1,200.00 / $1,200.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,790.00 / $4,790.00 / $4,790.00
Kaiser Permanente
Facility/Professional
Facility
Modifier
Low / Median / High Price
$110.00 / $110.00 / $280.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,200.00 / $1,602.00 / $5,309.00
University Health Alliance
Facility/Professional
Facility
Modifier
Low / Median / High Price
$110.00 / $110.00 / $110.00