go back

Hawaii rates for HCPCS L3209

Surgical boot, each, child

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.45 / $16.45 / $16.45
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.24 / $33.24 / $33.24
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.60 / $27.60 / $27.60
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $31.41 / $31.41
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.00 / $3.00 / $3.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.34 / $33.24 / $52.38