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Hawaii rates for HCPCS L5930

Addition, endoskeletal system, high activity knee control frame

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,486.70 / $1,486.70 / $1,486.70
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,402.66 / $3,402.66 / $3,402.66
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,282.71 / $4,711.58 / $4,711.58
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,283.25 / $4,485.08 / $4,485.08
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,569.94 / $4,283.25 / $5,996.55
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,788.97 / $3,402.66 / $4,711.58
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,873.21 / $3,450.31 / $4,076.86