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Hawaii rates for HCPCS L5644

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$309.03 / $407.38 / $602.56
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$457.09 / $457.09 / $549.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$457.09 / $616.60 / $870.96
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$707.95 / $707.95 / $741.31
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$426.58 / $707.95 / $812.83
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$467.74 / $478.63 / $562.34
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$416.87 / $549.54 / $794.33