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Hawaii rates for HCPCS L4394

Replace soft interface material, foot drop splint

Facilitymedian $13 · 10th–90th $9–$160%20%10th90th$13Professionalmedian $11 · 10th–90th $8–$210%20%10th90th$11$10.0$20.0

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
$7.94 / $10.00 / $14.13
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$13.49 / $13.49 / $15.85
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$13.49 / $18.62 / $25.12
HMSA
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$20.42 / $20.42 / $21.38
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.02 / $20.42 / $23.44
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$9.12 / $9.12 / $11.48
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.72 / $14.13 / $21.88