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Hawaii rates for HCPCS 46753

Graft (Thiersch operation) for rectal incontinence and/or prolapse

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,324.03 / $2,747.00 / $4,456.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$506.19 / $572.90 / $731.26
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,244.58 / $1,244.58 / $1,244.58
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$569.47 / $770.08 / $1,527.63
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$821.28 / $922.73 / $1,061.14
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$670.00 / $739.27 / $862.48
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,981.00 / $1,981.00 / $1,981.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$583.98 / $770.08 / $1,027.64
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$561.23 / $2,575.00 / $6,124.00