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Hawaii rates for HCPCS L5631

Addition to lower extremity, above knee (AK) or knee disarticulation, acrylic socket

Facilitymedian $347 · 10th–90th $331$4470%50%10th90th$347Professionalmedian $407 · 10th–90th $263$6030%20%10th90th$407$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 / $309.03 / $446.68
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$331.13 / $331.13 / $446.68
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$331.13 / $524.81 / $707.95
HMSA
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$575.44 / $575.44 / $602.56
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$338.84 / $575.44 / $660.69
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$346.74 / $354.81 / $416.87
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$309.03 / $398.11 / $616.60