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Hawaii rates for HCPCS L3201

Orthopedic shoe, Oxford with supinator or pronator, infant

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.04 / $37.04 / $228.80
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$44.04 / $44.04 / $44.04
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.06 / $30.06 / $30.06
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.00 / $20.94 / $20.94
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.00 / $2.00 / $2.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.32 / $44.04 / $70.00