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Hawaii rates for HCPCS L4210

Repair of orthotic device, repair or replace minor parts

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.00 / $20.80 / $364.00
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.02 / $21.02 / $21.02
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.77 / $28.77 / $28.77