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Hawaii rates for HCPCS L4205

Repair of orthotic device, labor component, per 15 minutes

Facilitymedian $18 · 10th–90th $13$220%20%40%10th90th$18Professionalmedian $16 · 10th–90th $12$430%10%20%10th90th$16$20.0$50.0

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
$12.02 / $12.88 / $19.95
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$22.39 / $22.39 / $22.39
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$22.39 / $27.54 / $48.98
HMSA
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$42.66 / $42.66 / $44.67
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$25.70 / $42.66 / $50.12
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$13.49 / $14.13 / $17.78
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.60 / $17.38 / $45.71