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Hawaii rates for HCPCS L1945

Ankle-foot orthosis (AFO), plastic, rigid anterior tibial section (floor reaction), custom fabricated

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$457.09 / $660.69 / $933.25
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$776.25 / $776.25 / $1,230.27
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$776.25 / $1,380.38 / $1,949.84
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,584.89 / $1,584.89 / $1,659.59
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$954.99 / $1,584.89 / $1,819.70
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$512.86 / $645.65 / $660.69
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$616.60 / $1,096.48 / $1,698.24