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Hawaii rates for HCPCS L2006

Knee ankle foot device, any material, single or double upright, swing and stance phase microprocessor control with adjustability, includes all components (e.g., sensors, batteries, charger), any type activation, with or without ankle joint(s), custom fabricated

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16,917.13 / $16,917.13 / $16,917.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37,890.07 / $44,576.55 / $50,914.38
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40,524.14 / $42,433.64 / $42,433.64
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28,366.90 / $40,524.14 / $56,733.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27,896.60 / $40,118.90 / $44,576.55
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38,571.50 / $38,571.50 / $38,571.50