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Hawaii rates for HCPCS L6570

Interscapular thoracic, molded socket, endoskeletal system, including soft prosthetic tissue shaping

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,055.78 / $2,055.78 / $2,055.78
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,724.82 / $6,724.82 / $6,724.82
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,943.38 / $3,943.38 / $9,311.68
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8,465.16 / $8,864.04 / $8,864.04
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,079.10 / $8,465.16 / $11,851.22
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,010.55 / $6,724.82 / $9,311.68
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,702.10 / $6,819.00 / $8,057.27