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Hawaii rates for HCPCS 51715

Endoscopic injection of implant material into the submucosal tissues of the urethra and/or bladder neck

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,324.03 / $4,456.00 / $4,456.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$205.52 / $323.42 / $445.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$243.74 / $351.08 / $454.14
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$307.41 / $380.64 / $551.10
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$212.81 / $399.64 / $508.63
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,155.00 / $2,155.00 / $2,155.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$370.58 / $454.14 / $564.80
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$260.27 / $2,500.00 / $6,063.00