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Hawaii rates for HCPCS 58267

Vaginal hysterectomy, for uterus 250 g or less; with colpo-urethrocystopexy (Marshall-Marchetti-Krantz type, Pereyra type) with or without endoscopic control

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,818.38 / $2,818.38 / $2,818.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$912.01 / $1,047.13 / $1,288.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,023.29 / $1,258.93 / $1,318.26
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,445.44 / $1,584.89 / $1,905.46
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,023.29 / $1,122.02 / $1,380.38
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
$1,071.52 / $1,318.26 / $1,698.24
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.51 / $954.99 / $1,737.80