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Hawaii rates for HCPCS L6100

Below elbow, molded socket, flexible elbow hinge, triceps pad

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,131.85 / $1,131.85 / $1,131.85
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,155.55 / $2,155.55 / $2,155.55
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,964.43 / $1,964.43 / $2,984.72
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,713.38 / $2,841.23 / $2,841.23
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,628.03 / $2,713.38 / $3,798.73
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,353.51 / $2,155.55 / $2,984.72
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,186.65 / $2,185.73 / $2,582.64