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Hawaii rates for HCPCS 51940

Closure, exstrophy of bladder

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
$1,681.18 / $1,725.23 / $1,725.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,620.54 / $2,001.19 / $2,001.19
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,251.37 / $2,529.48 / $2,984.79
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,761.05 / $1,921.14 / $2,241.33
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
$1,632.97 / $2,001.46 / $2,611.96
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.27 / $1,438.80 / $2,166.66