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Hawaii rates for HCPCS L5616

Addition To Lower Extremity Endoskeletal System Above Knee Universal Multiplex System Friction Swing Phase Control

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$599.04 / $599.04 / $599.04
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,444.93 / $1,444.93 / $1,444.93
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,018.60 / $2,000.74 / $2,000.74
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,818.85 / $1,904.55 / $1,904.55
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,091.31 / $1,818.85 / $2,546.39
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,244.49 / $1,444.93 / $2,000.74
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$795.47 / $1,465.16 / $1,731.21