go back

Hawaii rates for HCPCS L5000

Partial foot, shoe insert with longitudinal arch, toe filler

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$378.93 / $378.93 / $378.93
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$599.41 / $599.41 / $599.41
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$459.90 / $829.98 / $829.98
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$754.53 / $790.08 / $790.08
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$452.72 / $754.53 / $1,056.33
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$462.98 / $599.41 / $829.98
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$329.98 / $607.80 / $718.18