go back

Hawaii rates for HCPCS L6130

Below elbow, molded double wall split socket, stump activated locking hinge, half cuff

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,411.45 / $1,411.45 / $1,411.45
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,347.39 / $4,347.39 / $4,347.39
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,479.82 / $2,479.82 / $6,019.72
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,472.47 / $5,730.33 / $5,730.33
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,283.48 / $5,472.47 / $7,661.46
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,583.48 / $4,347.39 / $6,019.72
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,393.30 / $4,408.28 / $5,208.78