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Hawaii rates for HCPCS L3253

Foot, molded shoe, Plastazote (or similar), custom fitted, each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.66 / $18.66 / $18.66
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37.39 / $37.39 / $37.39
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.94 / $54.94 / $54.94
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
$17.26 / $37.39 / $59.42