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Hawaii rates for HCPCS L6647

Upper extremity addition, shoulder lock mechanism, body powered actuator

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$224.83 / $224.83 / $224.83
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$486.01 / $486.01 / $486.01
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$405.51 / $405.51 / $672.98
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$611.79 / $640.63 / $640.63
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$367.08 / $611.79 / $856.52
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$426.37 / $605.67 / $672.98
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$492.82 / $509.71 / $582.32