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Hawaii rates for HCPCS L1300

Other scoliosis procedure, body jacket molded to patient model

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,130.26 / $1,130.26 / $1,130.26
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,347.37 / $2,347.37 / $2,347.37
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,277.46 / $1,277.46 / $3,250.34
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,954.85 / $3,094.08 / $3,094.08
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,772.91 / $2,954.85 / $4,136.79
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,436.70 / $2,347.37 / $3,250.34
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,292.26 / $2,380.25 / $2,812.48