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Hawaii rates for HCPCS L6310

Shoulder disarticulation, passive restoration (complete prosthesis)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,424.16 / $1,424.16 / $1,424.16
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,333.06 / $4,333.06 / $4,333.06
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,141.52 / $3,141.52 / $5,999.87
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,454.43 / $5,711.44 / $5,711.44
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,272.66 / $5,454.43 / $7,636.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,134.14 / $4,333.06 / $5,999.87
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,385.40 / $4,393.75 / $5,191.60