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Hawaii rates for HCPCS L5628

Addition to lower extremity, test socket, hemipelvectomy

Facilitymedian $457 · 10th–90th $380–$5010%20%10th90th$457Professionalmedian $437 · 10th–90th $257–$6310%10%20%10th90th$437$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
$257.04 / $389.05 / $602.56
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$467.74 / $501.19 / $501.19
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$501.19 / $549.54 / $741.31
HMSA
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$602.56 / $602.56 / $630.96
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$363.08 / $602.56 / $691.83
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$380.19 / $389.05 / $457.09
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$338.84 / $457.09 / $660.69