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Hawaii rates for HCPCS L3500

Orthopedic shoe addition, insole, leather

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.71 / $11.71 / $11.71
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.32 / $27.32 / $27.32
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.58 / $23.58 / $37.84
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.40 / $36.02 / $36.02
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.64 / $34.40 / $48.16
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.57 / $15.57 / $15.73
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.97 / $27.32 / $37.84
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.98 / $28.66 / $32.74