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Hawaii rates for HCPCS L3999

Upper limb orthosis, not otherwise specified

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$422.00 / $422.00 / $422.00
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.84 / $73.84 / $73.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.69 / $14.10 / $14.10