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Hawaii rates for HCPCS L1836

Knee orthosis (KO), rigid, without joint(s), includes soft interface material, prefabricated, off-the-shelf

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.48 / $67.61 / $77.62
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.86 / $75.86 / $125.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.86 / $117.49 / $165.96
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.90 / $134.90 / $141.25
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.28 / $134.90 / $154.88
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$70.79 / $72.44 / $89.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.12 / $120.23 / $162.18