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Hawaii rates for HCPCS L1010

Addition to cervical-thoracic-lumbar-sacral orthosis (CTLSO) or scoliosis orthosis, axilla sling

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.74 / $25.74 / $25.74
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$70.19 / $70.19 / $70.19
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.20 / $65.20 / $97.20
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$88.36 / $92.52 / $92.52
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.02 / $88.36 / $123.70
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.71 / $70.19 / $97.20
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.65 / $71.17 / $84.10