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Hawaii rates for HCPCS L5718

Addition, exoskeletal knee-shin system, polycentric, friction swing and stance phase control

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$478.63 / $588.84 / $977.24
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$724.44 / $724.44 / $1,288.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$724.44 / $1,445.44 / $2,041.74
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,659.59 / $1,659.59 / $1,737.80
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$977.24 / $1,659.59 / $1,905.46
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$724.44 / $741.31 / $870.96
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$645.65 / $1,122.02 / $1,778.28