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Hawaii rates for HCPCS L5925

Addition, endoskeletal system, above knee (AK), knee disarticulation or hip disarticulation, manual lock

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$148.19 / $148.19 / $148.19
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$438.81 / $438.81 / $438.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$260.88 / $260.88 / $607.61
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$552.37 / $578.40 / $578.40
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$331.42 / $552.37 / $773.32
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$307.88 / $438.81 / $607.61
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$241.58 / $444.95 / $525.75