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Hawaii rates for HCPCS L8420

Prosthetic Sock Multiple Ply Below Knee Each (Special Coverage Instructions Apply. See Mcm: 2133)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.94 / $9.94 / $9.94
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.44 / $27.44 / $27.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.29 / $37.99 / $37.99
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.54 / $36.17 / $36.17
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.72 / $34.54 / $48.36
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.82 / $27.44 / $43.08
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.10 / $21.57 / $32.88