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Hawaii rates for HCPCS L5280

Hemipelvectomy Canadian Type; Molded Socket Hip Joint Single Axis Constant Friction Knee Shin Sach Foot

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,245.80 / $2,245.80 / $2,245.80
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,072.53 / $10,072.53 / $10,072.53
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,728.96 / $4,728.96 / $13,947.18
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12,679.25 / $13,276.70 / $13,276.70
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7,607.55 / $12,679.25 / $17,750.95
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,665.53 / $10,072.53 / $13,947.18
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,545.05 / $10,213.60 / $12,068.30