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Hawaii rates for HCPCS L6623

Upper extremity addition, spring assisted rotational wrist unit with latch release

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$282.93 / $282.93 / $282.93
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$567.07 / $567.07 / $567.07
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$496.34 / $785.21 / $785.21
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$713.83 / $747.47 / $747.47
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$428.30 / $713.83 / $999.36
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$497.47 / $706.69 / $785.21
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$312.18 / $575.01 / $679.43