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Hawaii rates for HCPCS L4370

Pneumatic full leg splint, prefabricated, off-the-shelf

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.20 / $131.83 / $194.98
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$151.36 / $151.36 / $169.82
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.36 / $190.55 / $269.15
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$218.78 / $218.78 / $229.09
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.83 / $218.78 / $251.19
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$104.71 / $107.15 / $131.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.89 / $169.82 / $239.88