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Hawaii rates for HCPCS 54162

Lysis or excision of penile post-circumcision adhesions

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
$202.24 / $264.64 / $1,093.93
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$241.44 / $320.20 / $329.14
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$315.64 / $373.26 / $435.39
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$221.78 / $289.64 / $368.63
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
$268.58 / $329.14 / $422.30
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$233.27 / $1,958.52 / $5,287.00