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Hawaii rates for HCPCS L3995

Addition to upper extremity orthosis, sock, fracture or equal, each

Facilitymedian $22 · 10th–90th $18–$370%20%10th90th$22Professionalmedian $24 · 10th–90th $19–$490%20%10th90th$24$20.0$50.0$100.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$18.20 / $22.39 / $30.90
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$30.20 / $30.20 / $37.15
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.20 / $43.65 / $58.88
HMSA
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$46.77 / $46.77 / $48.98
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$28.18 / $46.77 / $54.95
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$17.78 / $18.20 / $22.39
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$20.89 / $27.54 / $51.29