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Hawaii rates for HCPCS L5716

Addition, exoskeletal knee-shin system, polycentric, mechanical stance phase lock

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$380.19 / $537.03 / $870.96
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$676.08 / $676.08 / $1,202.26
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$676.08 / $1,318.26 / $1,862.09
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,513.56 / $1,513.56 / $1,584.89
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$912.01 / $1,513.56 / $1,737.80
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$575.44 / $588.84 / $691.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$512.86 / $1,047.13 / $1,659.59