go back

Hawaii rates for HCPCS L5686

Addition To Lower Extremity Below Knee Back Check (Extension Control)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.04 / $30.04 / $30.04
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$63.66 / $63.66 / $63.66
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.94 / $44.94 / $88.12
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.11 / $83.88 / $83.88
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.07 / $80.11 / $112.15
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.14 / $63.66 / $99.93
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.06 / $64.55 / $76.25