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Hawaii rates for HCPCS L0984

Protective body sock, prefabricated, off-the-shelf, each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.11 / $25.11 / $25.11
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$70.33 / $70.33 / $70.33
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.72 / $36.72 / $97.41
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$88.55 / $92.72 / $92.72
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.13 / $88.55 / $123.97
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.49 / $70.33 / $97.41
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.72 / $55.31 / $84.28