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Hawaii rates for HCPCS L5987

All lower extremity prostheses, shank foot system with vertical loading pylon

Facilitymedian $6,026 · 10th–90th $5,129$7,2440%20%40%10th90th$6,026Professionalmedian $5,129 · 10th–90th $3,715$9,3330%20%10th90th$5,129$5.0K$10.0K

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
$3,715.35 / $4,677.35 / $7,244.36
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6,025.60 / $6,025.60 / $7,244.36
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6,025.60 / $8,511.38 / $11,481.54
HMSA
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9,332.54 / $9,332.54 / $9,332.54
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6,606.93 / $9,332.54 / $10,715.19
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,128.61 / $5,248.07 / $6,165.95
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4,570.88 / $5,888.44 / $10,000.00