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Hawaii rates for HCPCS L1930

Ankle-foot orthosis (AFO), plastic or other material, prefabricated, includes fitting and adjustment

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$160.06 / $160.07 / $166.53
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$358.12 / $358.12 / $358.12
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$175.81 / $175.81 / $495.88
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$450.80 / $472.04 / $472.04
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$270.48 / $450.80 / $631.12
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$203.46 / $358.12 / $495.88
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$197.16 / $363.14 / $429.07