go back

Hawaii rates for HCPCS 54692

Laparoscopy, surgical; orchiopexy for intra-abdominal testis

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,747.00 / $6,966.00 / $8,499.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$723.53 / $776.01 / $1,158.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$751.22 / $932.11 / $932.11
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,107.98 / $1,303.51 / $8,902.00
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$820.26 / $894.83 / $1,043.97
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,028.00 / $3,028.00 / $3,028.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$760.60 / $932.11 / $1,210.84
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.27 / $667.38 / $1,252.23