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Hawaii rates for HCPCS L4205

Repair of orthotic device, labor component, per 15 minutes

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.02 / $12.88 / $19.95
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.39 / $22.39 / $22.39
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.39 / $22.39 / $45.71
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.66 / $42.66 / $44.67
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.70 / $42.66 / $50.12
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.49 / $14.13 / $17.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.22 / $23.99 / $51.29