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Hawaii rates for HCPCS L1050

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.81 / $57.54 / $83.18
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$72.44 / $72.44 / $109.65
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.44 / $123.03 / $173.78
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.25 / $141.25 / $147.91
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.11 / $141.25 / $162.18
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46.77 / $58.88 / $60.26
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.95 / $97.72 / $151.36