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Hawaii rates for HCPCS L5312

Knee disarticulation (or through knee), molded socket, single axis knee, pylon, SACH foot, endoskeletal system

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,514.08 / $1,514.08 / $1,514.08
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,091.11 / $4,091.11 / $4,091.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,001.57 / $3,001.57 / $5,664.84
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,149.85 / $5,392.51 / $5,392.51
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,604.90 / $5,149.85 / $7,209.79
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,291.83 / $4,091.11 / $5,664.84
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,148.41 / $4,290.57 / $4,901.71