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Hawaii rates for HCPCS L3540

Orthopedic shoe addition, sole, full

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.70 / $32.36 / $41.69
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.31 / $36.31 / $47.86
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.31 / $53.70 / $75.86
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.66 / $61.66 / $64.57
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.31 / $61.66 / $70.79
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.92 / $33.88 / $34.67
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $45.71 / $66.07