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Hawaii rates for HCPCS 52330

Cystourethroscopy (including ureteral catheterization); with manipulation, without removal of ureteral calculus

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,513.56 / $3,890.45 / $3,890.45
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$269.15 / $524.81 / $831.76
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$263.03 / $501.19 / $776.25
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$426.58 / $575.44 / $9,120.11
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$251.19 / $630.96 / $794.33
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,995.26 / $1,995.26 / $1,995.26
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$338.84 / $616.60 / $1,698.24
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$338.84 / $2,041.74 / $5,370.32