go back

Hawaii rates for HCPCS L3050

Foot, arch support, removable, premolded, metatarsal, each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.64 / $31.64 / $31.64
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$43.96 / $43.96 / $43.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.65 / $31.65 / $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
Facility
Modifier
Low / Median / High Price
$25.04 / $25.04 / $25.31
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.59 / $43.96 / $60.87
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.97 / $46.10 / $52.67