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Hawaii rates for HCPCS 50630

Ureterolithotomy; lower 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
$917.63 / $951.62 / $951.62
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$883.42 / $1,098.49 / $1,098.49
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,252.80 / $1,441.45 / $8,902.00
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$966.67 / $1,054.55 / $1,230.31
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
$1,088.14 / $1,155.88 / $1,424.49
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.27 / $908.91 / $1,430.40