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Hawaii rates for HCPCS L5790

Addition, exoskeletal system, above knee (AK), ultra-light material (titanium, carbon fiber or equal)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$371.54 / $501.19 / $758.58
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$588.84 / $588.84 / $912.01
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$588.84 / $1,023.29 / $1,445.44
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,174.90 / $1,174.90 / $1,230.27
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$691.83 / $1,174.90 / $1,348.96
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$575.44 / $588.84 / $676.08
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$501.19 / $794.33 / $1,258.93