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Hawaii rates for HCPCS L2510

Addition to lower extremity, thigh/weight bearing, quadri-lateral brim, molded to patient model

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$324.26 / $324.26 / $324.26
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$941.38 / $941.38 / $941.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$511.34 / $511.34 / $1,303.49
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,184.99 / $1,240.83 / $1,240.83
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$710.99 / $1,184.99 / $1,658.99
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$522.73 / $522.73 / $522.73
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$624.74 / $941.38 / $1,303.49
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$518.25 / $954.56 / $1,127.89