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Hawaii rates for HCPCS L5702

Replacement, socket, hip disarticulation, including hip joint, molded to patient model

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,290.87 / $3,090.30 / $4,897.79
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,715.35 / $3,715.35 / $6,165.95
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,715.35 / $6,918.31 / $9,772.37
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7,943.28 / $7,943.28 / $7,943.28
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,786.30 / $7,943.28 / $9,120.11
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,467.37 / $3,548.13 / $4,073.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,090.30 / $5,495.41 / $8,709.64