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Hawaii rates for HCPCS L2785

Addition to lower extremity orthosis, drop lock retainer, each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.31 / $14.31 / $14.31
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.84 / $56.84 / $56.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.10 / $23.10 / $78.72
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.56 / $74.93 / $74.93
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.94 / $71.56 / $100.18
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.26 / $56.84 / $78.72
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.28 / $57.64 / $68.11