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Hawaii rates for HCPCS L2500

Addition to lower extremity, thigh/weight bearing, gluteal/ischial weight bearing, ring

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.99 / $120.99 / $120.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$439.01 / $439.01 / $439.01
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$243.89 / $607.88 / $607.88
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$552.62 / $578.66 / $578.66
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$331.57 / $552.62 / $773.67
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$271.33 / $439.01 / $607.88
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$241.68 / $445.15 / $525.99