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Hawaii rates for HCPCS L5270

Hip disarticulation, tilt table type; molded socket, locking hip joint, single axis constant friction knee, shin, SACH foot

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,268.48 / $2,268.48 / $2,268.48
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,019.24 / $9,019.24 / $9,019.24
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,865.01 / $4,865.01 / $12,488.67
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11,353.34 / $11,888.31 / $11,888.31
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,812.00 / $11,353.34 / $15,894.68
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,712.66 / $9,019.24 / $14,160.15
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,965.21 / $9,145.54 / $10,806.29