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Hawaii rates for HCPCS 52250

Cystourethroscopy with insertion of radioactive substance, with or without biopsy or fulguration

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,635.55 / $2,747.00 / $5,484.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$246.11 / $261.45 / $261.45
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$237.24 / $290.43 / $298.16
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$350.87 / $403.71 / $4,334.00
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$255.57 / $278.81 / $325.27
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
$236.99 / $291.35 / $379.70
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$279.23 / $3,191.04 / $8,000.00