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Hawaii rates for HCPCS L3520

Orthopedic Shoe Addition Insole Felt Covered With Leather (Special Coverage Instructions Apply. See Mcm: 2323)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.72 / $12.72 / $12.72
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.67 / $29.67 / $29.67
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.38 / $21.38 / $41.10
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.36 / $39.11 / $39.11
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.42 / $37.36 / $52.30
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.05 / $29.67 / $41.10
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.09 / $31.12 / $35.56