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Hawaii rates for HCPCS L5639

Addition to lower extremity, below knee (BK), wood socket

Facilitymedian $891 · 10th–90th $871–$1,9500%20%10th90th$891Professionalmedian $1,047 · 10th–90th $661–$2,6300%20%10th90th$1,047$1.0K$2.0K

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
$630.96 / $776.25 / $1,122.02
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$870.96 / $870.96 / $1,949.84
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$870.96 / $2,290.87 / $3,090.30
HMSA
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,511.89 / $2,511.89 / $2,630.27
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,513.56 / $2,511.89 / $2,884.03
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$891.25 / $912.01 / $1,071.52
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$794.33 / $1,023.29 / $2,691.53