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Hawaii rates for HCPCS L3540

Orthopedic Shoe Addition Sole Full (Special Coverage Instructions Apply. See Mcm: 2323)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.38 / $20.38 / $20.38
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47.55 / $47.55 / $47.55
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.72 / $36.72 / $65.81
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.84 / $62.66 / $62.66
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.90 / $59.84 / $83.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.31 / $47.55 / $65.81
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.21 / $49.86 / $56.96