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Hawaii rates for HCPCS 57310

Closure of urethrovaginal fistula;

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,778.28 / $4,466.84 / $4,466.84
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$416.87 / $478.63 / $575.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$457.09 / $549.54 / $630.96
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$676.08 / $870.96 / $12,589.25
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$501.19 / $549.54 / $691.83
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,884.03 / $2,884.03 / $2,884.03
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$512.86 / $588.84 / $776.25
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.51 / $446.68 / $724.44