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Hawaii rates for HCPCS L3265

Plastazote sandal, each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.03 / $8.91 / $12.88
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.60 / $16.60 / $28.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.84 / $28.84 / $28.84
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.42 / $20.42 / $21.38
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.29 / $2.29 / $2.29
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.71 / $10.72 / $34.67
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.59 / $12.88 / $21.88