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Hawaii rates for HCPCS L4130

Replace pretibial shell

Facilitymedian $372 · 10th–90th $275–$6310%20%10th90th$372Professionalmedian $355 · 10th–90th $245–$8510%20%10th90th$355$200.0$500.0$1.0K

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
$245.47 / $302.00 / $446.68
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$371.54 / $371.54 / $630.96
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$371.54 / $741.31 / $1,000.00
HMSA
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$812.83 / $812.83 / $851.14
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$549.54 / $812.83 / $933.25
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$275.42 / $281.84 / $346.74
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$331.13 / $426.58 / $870.96