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Hawaii rates for HCPCS L2250

Addition to lower extremity, foot plate, molded to patient model, stirrup attachment

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.78 / $208.93 / $323.59
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$251.19 / $251.19 / $758.58
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$251.19 / $851.14 / $1,202.26
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$977.24 / $977.24 / $1,023.29
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$588.84 / $977.24 / $1,122.02
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$199.53 / $251.19 / $257.04
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.42 / $660.69 / $1,047.13