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Hawaii rates for HCPCS 57289

Pereyra procedure, including anterior colporrhaphy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,570.40 / $6,025.60 / $6,025.60
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$676.08 / $741.31 / $933.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$724.44 / $870.96 / $977.24
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,071.52 / $1,380.38 / $7,943.28
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$776.25 / $831.76 / $1,047.13
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,137.96 / $2,137.96 / $2,137.96
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$794.33 / $954.99 / $1,258.93
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$954.99 / $4,677.35 / $9,332.54