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Hawaii rates for HCPCS L5972

All lower extremity prostheses, foot, flexible keel

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$155.44 / $155.44 / $155.44
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$571.64 / $571.64 / $571.64
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$293.77 / $293.77 / $791.56
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$719.60 / $753.51 / $753.51
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$431.76 / $719.60 / $1,007.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$351.72 / $571.64 / $791.56
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$314.69 / $579.65 / $684.92