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Hawaii rates for HCPCS L2397

Addition to lower extremity orthosis, suspension sleeve

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.54 / $75.86 / $102.33
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$93.33 / $93.33 / $112.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.33 / $125.89 / $177.83
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.54 / $144.54 / $151.36
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.10 / $144.54 / $165.96
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$63.10 / $79.43 / $81.28
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.13 / $104.71 / $154.88