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Hawaii rates for HCPCS L5637

Addition to lower extremity, below knee (BK), total contact

Rates data updated July 2026.

How much does HCPCS L5637 cost?

$490

Typical negotiated rate. In Hawaii, July 2026.

Insurers have agreed to pay about $490 for this service. Most negotiated rates run $263 to $490.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 5 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $234 · 10th to 90th $229 to $380Professionalmedian $490 · 10th to 90th $162 to $513
$200$500facility $234professional $490

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$162.18
Median
$162.18
Typical High
$229.09
Cigna
Setting
Facility
Modifier
Global
Typical Low
$234.42
Median
$234.42
Typical High
$380.19
Cigna
Setting
Professional
Modifier
Global
Typical Low
$234.42
Median
$446.68
Typical High
$602.56
HMSA
Setting
Professional
Modifier
Global
Typical Low
$489.78
Median
$489.78
Typical High
$512.86
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$295.12
Median
$489.78
Typical High
$691.83
United
Setting
Facility
Modifier
Global
Typical Low
$229.09
Median
$234.42
Typical High
$275.42
United
Setting
Professional
Modifier
Global
Typical Low
$204.17
Median
$288.40
Typical High
$602.56

Where Hawaii sits

The same service costs 2.7 times more in Hawaii than in Delaware. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Hawaii· 1st of 51

$490

HI $490DE $182

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.