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Hawaii rates for HCPCS 54385

Plastic Penis Epispadias Dstl Sphnctr W/Incont

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
$1,001.31 / $1,001.31 / $1,052.57
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,035.11 / $1,151.41 / $1,204.28
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,329.65 / $1,493.90 / $1,762.80
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,013.24 / $1,105.35 / $1,289.58
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
$939.55 / $1,151.41 / $1,487.33
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$855.16 / $2,582.96 / $6,124.00