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Hawaii rates for HCPCS L5980

All lower extremity prostheses, flex-foot system

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,147.51 / $2,147.51 / $2,147.51
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,521.38 / $4,521.38 / $4,521.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,780.72 / $2,780.72 / $6,260.61
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,691.46 / $5,959.64 / $5,959.64
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,414.88 / $5,691.46 / $7,968.04
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,700.21 / $4,521.38 / $6,260.61
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,489.09 / $4,584.68 / $5,417.22