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Hawaii rates for HCPCS 52301

Cysto W/Resecj Ectopic Ureterocele Uni/Bi

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,324.03 / $2,747.00 / $4,456.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$298.02 / $315.07 / $315.07
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$287.48 / $350.71 / $359.76
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$403.46 / $464.22 / $6,874.20
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$308.63 / $336.68 / $392.80
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
$286.18 / $352.58 / $459.24
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$318.81 / $2,575.00 / $6,124.00