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Hawaii rates for HCPCS L5341

Hemipelvectomy, Canadian type, molded socket, endoskeletal system, hip joint, single axis knee, SACH foot

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,245.87 / $2,245.87 / $2,245.87
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,070.95 / $10,070.95 / $10,070.95
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,790.37 / $3,790.37 / $13,944.95
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12,677.23 / $13,274.58 / $13,274.58
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7,606.34 / $12,677.23 / $17,748.12
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,977.55 / $10,070.95 / $13,944.95
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10,211.99 / $10,561.97 / $12,066.38