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Hawaii rates for HCPCS 54250

Nocturnal penile tumescence and/or rigidity test

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$122.15 / $124.46 / $124.46
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$119.58 / $151.21 / $151.21
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.87 / $35.18 / $201.29
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$133.07 / $145.16 / $169.36
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.39 / $151.21 / $195.65
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.50 / $108.93 / $211.93