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Hawaii rates for HCPCS L6684

Upper extremity addition, test socket, shoulder disarticulation or interscapular thoracic

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.98 / $295.12 / $467.74
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$363.08 / $363.08 / $602.56
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$363.08 / $676.08 / $954.99
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$758.58 / $758.58 / $794.33
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$457.09 / $758.58 / $891.25
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$275.42 / $281.84 / $331.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$245.47 / $524.81 / $831.76