go back

Hawaii rates for HCPCS L2622

Addition to lower extremity, pelvic control, hip joint, adjustable flexion, each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$215.88 / $215.88 / $215.88
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$545.00 / $545.00 / $545.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$215.87 / $215.87 / $754.64
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$686.04 / $718.37 / $718.37
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$411.62 / $686.04 / $960.46
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$263.75 / $545.00 / $754.64
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$300.02 / $552.63 / $652.98