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Hawaii rates for HCPCS L5624

Addition to lower extremity, test socket, above knee (AK)

Facilitymedian $309 · 10th–90th $288–$4370%50%10th90th$309Professionalmedian $316 · 10th–90th $219–$5620%10%20%10th90th$316$200.0$500.0$1.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$194.98 / $257.04 / $407.38
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$309.03 / $309.03 / $436.52
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$309.03 / $512.86 / $691.83
HMSA
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$562.34 / $562.34 / $588.84
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$338.84 / $562.34 / $645.65
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$288.40 / $295.12 / $346.74
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$257.04 / $331.13 / $602.56