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Hawaii rates for HCPCS L6632

Upper extremity addition, latex suspension sleeve, each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.66 / $28.66 / $28.66
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.53 / $56.53 / $56.53
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.73 / $48.73 / $78.27
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.15 / $74.50 / $74.50
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.69 / $71.15 / $99.61
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.69 / $64.84 / $78.27
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.12 / $57.31 / $67.72