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Hawaii rates for HCPCS L3170

Foot, plastic, silicone or equal, heel stabilizer, prefabricated, off-the-shelf, each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.00 / $32.89 / $34.22
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47.55 / $47.55 / $47.55
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.22 / $34.22 / $65.81
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.84 / $62.66 / $62.66
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.90 / $59.84 / $83.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.31 / $47.55 / $65.81
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.99 / $48.21 / $56.96