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Hawaii rates for HCPCS 52204

Cystourethroscopy, with biopsy(s)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,157.88 / $3,883.00 / $7,334.84
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$146.18 / $401.90 / $618.05
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.14 / $470.18 / $488.98
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$217.85 / $269.75 / $642.61
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$152.11 / $413.75 / $526.60
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,981.00 / $1,981.00 / $1,981.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$383.66 / $470.18 / $651.90
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$185.89 / $1,958.52 / $5,287.00