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Hawaii rates for HCPCS L5653

Addition to lower extremity, knee disarticulation, expandable wall socket

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$256.70 / $256.70 / $256.70
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$654.84 / $654.84 / $654.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$555.76 / $555.76 / $906.72
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$824.29 / $863.13 / $863.13
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$494.57 / $824.29 / $1,154.01
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$533.29 / $654.84 / $906.72
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$360.50 / $664.01 / $784.57