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Hawaii rates for HCPCS L2350

Addition to lower extremity, prosthetic type, (BK) socket, molded to patient model, (used for PTB, AFO orthoses)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$436.52 / $575.44 / $691.83
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$630.96 / $630.96 / $1,949.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$630.96 / $2,187.76 / $3,090.30
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,511.89 / $2,511.89 / $2,630.27
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,513.56 / $2,511.89 / $2,884.03
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$501.19 / $630.96 / $645.65
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$588.84 / $1,737.80 / $2,754.23