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Hawaii rates for HCPCS L3040

Foot, arch support, removable, premolded, longitudinal, each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.64 / $120.00 / $160.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$43.96 / $43.96 / $43.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.22 / $33.22 / $60.87
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.34 / $57.95 / $57.95
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.20 / $55.34 / $77.48
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.56 / $43.96 / $60.87
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.88 / $44.57 / $52.67