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Hawaii rates for HCPCS L5966

Addition, endoskeletal system, hip disarticulation, flexible protective outer surface covering system

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$579.24 / $579.24 / $579.24
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,403.31 / $1,403.31 / $1,403.31
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$895.00 / $895.00 / $1,943.13
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,766.48 / $1,849.72 / $1,849.72
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,059.89 / $1,766.48 / $2,473.07
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,093.48 / $1,403.31 / $1,943.13
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$772.54 / $1,422.96 / $1,681.36