go back

Hawaii rates for HCPCS L6625

Upper extremity addition, rotation wrist unit with cable lock

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$275.42 / $371.54 / $537.03
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$416.87 / $416.87 / $933.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$416.87 / $1,047.13 / $1,479.11
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,174.90 / $1,174.90 / $1,230.27
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$707.95 / $1,174.90 / $1,380.38
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$416.87 / $436.52 / $501.19
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$371.54 / $812.83 / $1,288.25