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Hawaii rates for HCPCS 50526

Closure of nephrovisceral fistula (eg, renocolic), including visceral repair; thoracic approach

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,747.00 / $2,747.00 / $2,747.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,481.00 / $1,481.00 / $1,483.45
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,418.11 / $1,891.03 / $1,891.03
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,030.49 / $2,281.31 / $2,691.95
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,664.10 / $1,815.38 / $2,117.94
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
$1,543.08 / $1,891.03 / $2,474.92
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.27 / $1,482.01 / $2,293.44