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Hawaii rates for HCPCS 50830

Urinary undiversion (eg, taking down of ureteroileal conduit, ureterosigmoidostomy or ureteroenterostomy with ureteroureterostomy or ureteroneocystostomy)

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
$1,845.34 / $1,915.12 / $1,915.12
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,778.97 / $2,195.48 / $2,195.48
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,527.65 / $2,839.89 / $3,351.07
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,932.03 / $2,107.67 / $2,458.94
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
$1,791.52 / $2,197.80 / $2,866.68
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.27 / $1,867.10 / $2,931.31