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Hawaii rates for HCPCS L1030

Addition to cervical-thoracic-lumbar-sacral orthosis (CTLSO) or scoliosis orthosis, lumbar bolster pad

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.40 / $24.40 / $24.40
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.30 / $64.30 / $64.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.95 / $52.95 / $89.03
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.94 / $84.75 / $84.75
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.56 / $80.94 / $113.32
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.88 / $80.13 / $89.03
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.39 / $65.20 / $77.04