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Hawaii rates for HCPCS L4392

Replacement, soft interface material, static AFO

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.42 / $9.42 / $9.42
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.62 / $21.62 / $21.62
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.80 / $15.80 / $29.93
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.21 / $28.49 / $28.49
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.32 / $27.21 / $38.09
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.97 / $21.62 / $29.93
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.90 / $21.92 / $25.90