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Hawaii rates for HCPCS L3610

Transfer of an orthosis from one shoe to another, caliper plate, new

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.29 / $63.10 / $83.18
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$81.28 / $81.28 / $93.33
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.28 / $104.71 / $147.91
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.23 / $120.23 / $125.89
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.44 / $120.23 / $138.04
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$53.70 / $67.61 / $69.18
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.10 / $89.13 / $128.82