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Hawaii rates for HCPCS L5661

Addition to lower extremity, socket insert, multidurometer Symes

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$316.23 / $426.58 / $660.69
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$457.09 / $457.09 / $794.33
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$457.09 / $891.25 / $1,258.93
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,023.29 / $1,023.29 / $1,071.52
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$602.56 / $1,023.29 / $1,174.90
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$478.63 / $489.78 / $575.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$426.58 / $691.83 / $1,096.48