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Hawaii rates for HCPCS L1280

Addition to thoracic-lumbar-sacral orthosis (TLSO), (low profile), rib gusset (elastic), each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.54 / $35.54 / $35.54
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$130.12 / $130.12 / $130.12
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.27 / $73.27 / $180.17
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$163.79 / $171.51 / $171.51
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$98.27 / $163.79 / $229.31
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.19 / $130.12 / $180.17
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.64 / $131.94 / $155.90