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Hawaii rates for HCPCS 54316

Urethroplasty for second stage hypospadias repair (including urinary diversion) with free skin graft obtained from site other than genitalia

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
$1,004.99 / $1,044.93 / $1,044.93
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$987.79 / $1,224.09 / $1,247.00
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,453.10 / $1,632.60 / $1,926.47
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,077.21 / $1,175.14 / $1,370.99
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,155.00 / $2,155.00 / $2,155.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$998.87 / $1,224.09 / $1,591.11
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$886.93 / $2,582.96 / $6,124.00