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Hawaii rates for HCPCS 54861

Epididymectomy; bilateral

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,635.55 / $2,747.00 / $5,484.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$539.04 / $579.80 / $579.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$561.90 / $710.74 / $710.74
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$819.09 / $942.44 / $6,874.20
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$625.45 / $682.31 / $796.03
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
$706.53 / $710.74 / $911.63
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$679.38 / $3,900.00 / $8,000.00