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Hawaii rates for HCPCS L6205

Elbow disarticulation, molded socket with expandable interface, outside locking hinges, forearm

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,949.84 / $2,884.03 / $4,570.88
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,548.13 / $3,548.13 / $4,677.35
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,548.13 / $5,248.07 / $7,413.10
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,025.60 / $6,025.60 / $6,025.60
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,265.80 / $6,025.60 / $6,918.31
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,884.03 / $2,951.21 / $3,467.37
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,570.40 / $4,168.69 / $6,456.54