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Hawaii rates for HCPCS L6882

Microprocessor control feature, addition to upper limb prosthetic terminal device

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,584.89 / $1,995.26 / $3,162.28
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,290.87 / $2,290.87 / $2,884.03
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,290.87 / $3,235.94 / $4,570.88
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,715.35 / $3,715.35 / $3,890.45
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,238.72 / $3,715.35 / $4,265.80
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,187.76 / $2,238.72 / $2,630.27
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,949.84 / $2,754.23 / $3,981.07