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Hawaii rates for HCPCS L4394

Replace soft interface material, foot drop splint

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.94 / $10.00 / $14.13
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.49 / $13.49 / $15.85
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.49 / $17.78 / $25.12
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.42 / $20.42 / $21.38
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.02 / $20.42 / $23.44
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.12 / $9.12 / $11.48
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.72 / $15.49 / $21.88