go back

Hawaii rates for HCPCS L6250

Above elbow, molded double wall socket, internal locking elbow, forearm

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,248.22 / $1,248.22 / $1,248.22
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,116.14 / $4,116.14 / $4,116.14
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,561.34 / $2,561.34 / $5,699.52
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,181.38 / $5,425.53 / $5,425.53
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,108.83 / $5,181.38 / $7,253.93
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,460.60 / $4,116.14 / $5,699.52
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,265.98 / $4,173.79 / $4,931.72