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Hawaii rates for HCPCS L3580

Orthopedic shoe addition, convert instep to Velcro closure

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.97 / $25.97 / $25.97
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$60.59 / $60.59 / $60.59
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.62 / $43.62 / $83.91
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76.28 / $79.87 / $79.87
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.77 / $76.28 / $106.79
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.15 / $60.59 / $83.91
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.44 / $63.55 / $72.59