go back

Hawaii rates for HCPCS L2850

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $38.90 / $50.12
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$43.65 / $43.65 / $70.79
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.65 / $79.43 / $112.20
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.20 / $91.20 / $95.50
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.95 / $91.20 / $104.71
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.67 / $34.67 / $43.65
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.74 / $61.66 / $97.72