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Hawaii rates for HCPCS L6300

Shoulder disarticulation, molded socket, shoulder bulkhead, humeral section, internal locking elbow, forearm

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,994.52 / $1,994.52 / $1,994.52
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,373.65 / $5,373.65 / $5,373.65
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,813.78 / $3,813.78 / $7,440.77
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,764.34 / $7,083.08 / $7,083.08
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,058.60 / $6,764.34 / $9,470.08
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,413.82 / $5,373.65 / $7,440.77
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,958.26 / $5,448.92 / $6,438.40