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Hawaii rates for RC 0404

Other Imaging Services-Positron Emission Tomography

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,823.00 / $6,823.00 / $6,823.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,823.00 / $6,823.00 / $6,823.00
Kaiser Permanente
Facility/Professional
Facility
Modifier
Low / Median / High Price
$110.00 / $280.00 / $2,900.00
University Health Alliance
Facility/Professional
Facility
Modifier
Low / Median / High Price
$110.00 / $110.00 / $110.00