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Hawaii rates for HCPCS L5826

Addition, endoskeletal knee-shin system, single axis, hydraulic swing phase control, with miniature high activity frame

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,375.22 / $1,375.22 / $1,375.22
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,157.00 / $3,157.00 / $3,157.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,677.88 / $2,677.88 / $4,371.41
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,974.01 / $4,161.27 / $4,161.27
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,384.41 / $3,974.01 / $5,563.61
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,769.50 / $3,157.00 / $4,956.47
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,737.97 / $3,201.21 / $3,782.52