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Hawaii rates for HCPCS L1640

Hip orthosis (HO), abduction control of hip joints, static, pelvic band or spreader bar, thigh cuffs, custom fabricated

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$206.78 / $206.78 / $206.78
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$382.23 / $382.23 / $382.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$379.04 / $529.25 / $529.25
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$481.14 / $503.81 / $503.81
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$288.68 / $481.14 / $673.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$335.31 / $432.24 / $529.25
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$210.42 / $387.58 / $457.95