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Hawaii rates for HCPCS 50610

Ureterolithotomy; upper one-third of ureter

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,528.00 / $6,084.00 / $7,424.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$970.99 / $1,015.65 / $1,015.65
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$935.04 / $1,161.35 / $1,161.35
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,354.15 / $1,521.43 / $1,795.29
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,022.00 / $1,114.91 / $1,300.73
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
$1,152.32 / $1,224.10 / $1,507.61
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.27 / $984.02 / $1,557.03