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Hawaii rates for HCPCS L5331

Hip Disarticulation Canadian Type Molded Socket Endoskeletal System Hip Joint Single Axis Knee Sach Foot

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,051.35 / $2,051.35 / $2,051.35
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,719.86 / $5,719.86 / $5,719.86
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,052.23 / $4,052.23 / $7,920.13
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7,200.12 / $7,539.39 / $7,539.39
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,320.07 / $7,200.12 / $10,080.17
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,261.57 / $5,719.86 / $7,920.13
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,810.92 / $5,998.74 / $6,853.19