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Hawaii rates for HCPCS 51565

Cystectomy, partial, with reimplantation of ureter(s) into bladder (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
$1,331.72 / $1,381.58 / $1,381.58
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,285.13 / $1,579.83 / $1,579.83
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,821.19 / $2,046.16 / $2,414.46
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,390.25 / $1,516.63 / $1,769.40
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
$1,289.14 / $1,587.23 / $2,070.92
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.27 / $1,302.43 / $2,064.01