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Hawaii rates for HCPCS 50728

Revision of urinary-cutaneous anastomosis (any type urostomy); with repair of fascial defect and hernia

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
$720.27 / $745.38 / $745.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$692.28 / $871.93 / $871.93
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$993.05 / $1,115.72 / $1,316.55
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$767.29 / $837.05 / $976.56
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
$711.49 / $873.06 / $1,173.48
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.27 / $800.52 / $1,192.16