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Hawaii rates for HCPCS 57291

Construction of artificial vagina; without graft

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,861.43 / $2,747.00 / $6,084.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$536.66 / $606.70 / $606.70
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$521.33 / $683.98 / $705.41
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$730.01 / $839.94 / $8,902.00
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$601.90 / $656.62 / $766.05
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
$558.12 / $683.98 / $870.24
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$537.76 / $3,692.19 / $9,324.00