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Hawaii rates for HCPCS L6704

Terminal device, sport/recreational/work attachment, any material, any size

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$309.03 / $436.52 / $676.08
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$524.81 / $524.81 / $851.14
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$524.81 / $933.25 / $1,318.26
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,071.52 / $1,071.52 / $1,122.02
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$758.58 / $1,071.52 / $1,230.27
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$467.74 / $478.63 / $549.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$407.38 / $794.33 / $1,174.90