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Hawaii rates for HCPCS 52214

Cystourethroscopy, with fulguration (including cryosurgery or laser surgery) of trigone, bladder neck, prostatic fossa, urethra, or periurethral glands

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,157.88 / $2,747.00 / $3,883.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$214.44 / $368.33 / $742.36
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$255.09 / $729.61 / $954.06
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$297.37 / $368.21 / $1,310.08
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$185.04 / $839.58 / $1,068.55
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
$778.52 / $954.06 / $1,251.51
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$227.30 / $1,981.00 / $5,287.00