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Hawaii rates for HCPCS L6360

Interscapular thoracic, passive restoration (complete prosthesis)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,404.90 / $1,404.90 / $1,404.90
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,811.94 / $5,811.94 / $5,811.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,297.39 / $3,297.39 / $8,047.63
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7,316.03 / $7,660.76 / $7,660.76
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,389.62 / $7,316.03 / $10,242.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,178.74 / $5,811.94 / $8,047.63
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,199.56 / $5,893.33 / $6,963.51