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Hawaii rates for HCPCS L5974

All lower extremity prostheses, foot, single axis ankle/foot

Facilitymedian $186 · 10th–90th $174$4170%20%10th90th$186Professionalmedian $224 · 10th–90th $120$5250%20%10th90th$224$100.0$200.0$500.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$120.23 / $158.49 / $234.42
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$173.78 / $173.78 / $416.87
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$173.78 / $489.78 / $645.65
HMSA
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$524.81 / $524.81 / $524.81
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$316.23 / $524.81 / $602.56
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$186.21 / $190.55 / $218.78
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$162.18 / $213.80 / $575.44