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Hawaii rates for HCPCS 46712

Repair of ileoanal pouch fistula/sinus (eg, perineal or vaginal), pouch advancement; combined transperineal and transabdominal approach

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,758.00 / $4,456.00 / $5,299.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,870.99 / $1,999.12 / $2,606.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,005.93 / $2,654.09 / $5,525.15
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,870.23 / $3,224.79 / $3,708.51
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,250.67 / $2,547.92 / $2,972.58
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,446.00 / $2,446.00 / $2,446.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,111.56 / $2,654.09 / $3,698.16
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$369.21 / $2,393.71 / $3,370.39