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Hawaii rates for HCPCS L1080

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.23 / $21.23 / $21.23
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.28 / $64.28 / $64.28
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.77 / $89.00 / $89.00
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.91 / $84.72 / $84.72
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.55 / $80.91 / $113.27
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.53 / $64.28 / $89.00
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.38 / $65.18 / $77.01