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Hawaii rates for HCPCS L6688

Upper extremity addition, frame type socket, above elbow or elbow disarticulation

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$281.84 / $407.38 / $645.65
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$524.81 / $524.81 / $660.69
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$524.81 / $741.31 / $1,047.13
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$851.14 / $851.14 / $891.25
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$512.86 / $851.14 / $977.24
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$416.87 / $426.58 / $501.19
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$371.54 / $588.84 / $933.25