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Hawaii rates for HCPCS L5684

Addition to lower extremity, below knee, fork strap

Facilitymedian $38 · 10th–90th $37–$1100%50%10th90th$38Professionalmedian $46 · 10th–90th $25–$1480%20%10th90th$46$20.0$50.0$100.0$200.0

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
$25.12 / $30.90 / $48.98
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$37.15 / $37.15 / $109.65
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$37.15 / $128.82 / $173.78
HMSA
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$141.25 / $141.25 / $147.91
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$85.11 / $141.25 / $162.18
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$38.02 / $38.90 / $45.71
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$33.88 / $43.65 / $151.36