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Hawaii rates for HCPCS L3252

Foot, shoe molded to patient model, Plastazote (or similar), custom fabricated, each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.64 / $74.64 / $74.64
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$149.97 / $149.97 / $149.97
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.50 / $56.50 / $56.50
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.54 / $89.57 / $89.57
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.55 / $8.55 / $8.55
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.22 / $149.97 / $237.71