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Hawaii rates for HCPCS 50081

Perq Nl/Pl Lithotrp Complex >2 Cm Mlt Locations

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,528.00 / $6,084.00 / $7,424.00
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,211.10 / $1,321.21 / $1,541.41
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,912.00 / $2,912.00 / $2,912.00