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Hawaii rates for HCPCS 57426

Revision (including removal) of prosthetic vaginal graft, laparoscopic approach

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,528.00 / $6,084.00 / $7,424.00
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$952.13 / $1,038.68 / $1,211.80
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,155.00 / $2,155.00 / $2,155.00