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Hawaii rates for HCPCS L2840

Addition to lower extremity orthosis, tibial length sock, fracture or equal, each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.89 / $29.51 / $36.31
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.62 / $31.62 / $41.69
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.62 / $46.77 / $66.07
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.70 / $53.70 / $56.23
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $53.70 / $61.66
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24.55 / $24.55 / $30.90
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.84 / $40.74 / $58.88