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Hawaii rates for HCPCS L6665

Upper extremity addition, Teflon, or equal, cable lining

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.53 / $23.53 / $23.53
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.08 / $50.08 / $50.08
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.54 / $34.54 / $69.34
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.04 / $66.01 / $66.01
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.82 / $63.04 / $88.26
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.92 / $50.08 / $69.34
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.57 / $50.78 / $60.00