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Hawaii rates for HCPCS L3420

Full sole and heel wedge, between sole

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.89 / $21.89 / $21.89
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$51.10 / $51.10 / $51.10
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.78 / $70.76 / $70.76
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.33 / $67.36 / $67.36
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.60 / $64.33 / $90.06
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.82 / $51.10 / $70.76
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.82 / $53.60 / $61.23