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Hawaii rates for HCPCS L6687

Upper extremity addition, frame type socket, below elbow or wrist disarticulation

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$302.00 / $371.54 / $575.44
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$436.52 / $436.52 / $602.56
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$436.52 / $676.08 / $954.99
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$776.25 / $776.25 / $812.83
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$467.74 / $776.25 / $891.25
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$457.09 / $467.74 / $549.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$407.38 / $575.44 / $831.76