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Hawaii rates for HCPCS L5686

Addition to lower extremity, below knee (BK), back check (extension control)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $37.15 / $57.54
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$44.67 / $44.67 / $63.10
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.67 / $70.79 / $100.00
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.28 / $81.28 / $85.11
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.98 / $81.28 / $93.33
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.74 / $41.69 / $48.98
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.31 / $56.23 / $89.13