go back

Hawaii rates for HCPCS L6881

Automatic grasp feature, addition to upper limb electric prosthetic terminal device

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,770.21 / $1,770.21 / $1,770.21
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,826.75 / $3,826.75 / $3,826.75
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,801.20 / $5,298.80 / $5,298.80
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,817.09 / $5,044.07 / $5,044.07
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,890.25 / $4,817.09 / $6,743.93
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,357.05 / $3,826.75 / $5,298.80
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,880.34 / $4,013.33 / $4,584.97