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Hawaii rates for HCPCS L5704

Custom shaped protective cover, below knee (BK)

Facilitymedian $417 · 10th–90th $398$6170%50%10th90th$417Professionalmedian $447 · 10th–90th $295$8320%20%10th90th$447$500.0$1.0K

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
$288.40 / $380.19 / $575.44
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$398.11 / $398.11 / $616.60
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$398.11 / $724.44 / $977.24
HMSA
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$794.33 / $794.33 / $831.76
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$478.63 / $794.33 / $912.01
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$416.87 / $426.58 / $501.19
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$371.54 / $478.63 / $851.14