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Hawaii rates for HCPCS L3031

Foot, insert/plate, removable, addition to lower extremity orthosis, high strength, lightweight material, all hybrid lamination/prepreg composite, each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.66 / $77.62 / $102.33
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.18 / $83.18 / $114.82
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.18 / $128.82 / $181.97
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.91 / $147.91 / $154.88
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.13 / $147.91 / $169.82
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.07 / $81.28 / $83.18
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.62 / $114.82 / $173.78