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Hawaii rates for HCPCS L1120

Addition to cervical-thoracic-lumbar-sacral orthosis (CTLSO), scoliosis orthosis, cover for upright, each

Facilitymedian $30 · 10th–90th $22$890%20%40%10th90th$30Professionalmedian $28 · 10th–90th $19$1200%20%10th90th$28$20.0$50.0$100.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.05 / $23.99 / $33.11
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$29.51 / $29.51 / $89.13
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$29.51 / $104.71 / $141.25
HMSA
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$114.82 / $114.82 / $120.23
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$69.18 / $114.82 / $131.83
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$21.88 / $22.39 / $28.18
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$26.30 / $33.88 / $123.03