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Hawaii rates for HCPCS L2390

Addition to lower extremity, offset knee joint, each joint

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.54 / $70.79 / $85.11
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$79.43 / $79.43 / $177.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $199.53 / $281.84
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$229.09 / $229.09 / $239.88
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.04 / $229.09 / $263.03
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$61.66 / $77.62 / $79.43
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.44 / $154.88 / $245.47