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Hawaii rates for HCPCS L3570

Orthopedic shoe addition, special extension to instep (leather with eyelets)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.11 / $34.11 / $34.11
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$79.63 / $79.63 / $79.63
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.65 / $69.65 / $110.28
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.25 / $104.97 / $104.97
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.15 / $100.25 / $140.35
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.84 / $79.63 / $110.28
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.75 / $83.52 / $95.42