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Hawaii rates for HCPCS L3090

Foot, arch support, nonremovable, attached to shoe, longitudinal/metatarsal, each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.30 / $16.30 / $16.30
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.02 / $38.02 / $38.02
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.38 / $27.38 / $52.66
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.87 / $50.13 / $50.13
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.72 / $47.87 / $67.02
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.36 / $38.02 / $52.66
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.56 / $39.89 / $45.57