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Hawaii rates for HCPCS 50620

Ureterolithotomy; middle 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
$929.25 / $971.88 / $971.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$894.70 / $1,111.55 / $1,111.55
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,294.02 / $1,453.87 / $1,715.57
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$978.16 / $1,067.08 / $1,244.94
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
$907.02 / $1,111.55 / $1,442.48
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.27 / $920.50 / $1,447.40