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Hawaii rates for HCPCS L5714

Addition, exoskeletal knee-shin system, single axis, variable friction swing phase control

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$223.87 / $281.84 / $446.68
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$338.84 / $338.84 / $489.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$338.84 / $549.54 / $776.25
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$630.96 / $630.96 / $660.69
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$371.54 / $630.96 / $724.44
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$331.13 / $338.84 / $398.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$295.12 / $426.58 / $676.08