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Hawaii rates for HCPCS L2750

Addition to lower extremity orthosis, plating chrome or nickel, per bar

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.72 / $37.72 / $37.72
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$72.45 / $72.45 / $72.45
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.84 / $58.84 / $100.34
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.22 / $95.52 / $95.52
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.73 / $91.22 / $127.71
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.56 / $78.30 / $100.34
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.89 / $73.47 / $86.82