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Hawaii rates for HCPCS L5707

Custom shaped protective cover, hip disarticulation

Facilitymedian $1,175 · 10th–90th $977–$1,2880%50%10th90th$1,175Professionalmedian $1,023 · 10th–90th $708–$1,7380%20%10th90th$1,023$1.0K$2.0K

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
$660.69 / $912.01 / $1,348.96
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,230.27 / $1,230.27 / $1,288.25
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,230.27 / $1,548.82 / $2,041.74
HMSA
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,659.59 / $1,659.59 / $1,737.80
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,000.00 / $1,659.59 / $1,905.46
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$977.24 / $1,000.00 / $1,174.90
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$870.96 / $1,122.02 / $1,819.70