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Hawaii rates for HCPCS L6400

Below elbow, molded socket, endoskeletal system, including soft prosthetic tissue shaping

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,191.20 / $1,191.20 / $1,191.20
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,300.97 / $3,300.97 / $3,300.97
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,125.02 / $2,125.02 / $4,570.78
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,155.25 / $4,351.05 / $4,351.05
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,493.15 / $4,155.25 / $5,817.35
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,126.19 / $3,300.97 / $4,570.78
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,817.22 / $3,347.20 / $3,955.03