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Hawaii rates for HCPCS L8480

Prosthetic sock, single ply, fitting, above knee (AK), each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.05 / $4.05 / $4.05
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.97 / $10.97 / $10.97
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.14 / $15.19 / $15.19
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.81 / $14.46 / $14.46
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.28 / $13.81 / $19.32
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.28 / $7.28 / $7.47
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.55 / $10.97 / $17.23
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.04 / $8.63 / $13.15