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Hawaii rates for HCPCS L6925

Wrist disarticulation, external power, self-suspended inner socket, removable forearm shell, Otto Bock or equal electrodes, cables, two batteries and one charger, myoelectronic control of terminal device

Facilitymedian $7,244 · 10th–90th $6,166–$8,7100%50%10th90th$7,244Professionalmedian $6,166 · 10th–90th $3,981–$11,2200%20%10th90th$6,166$5.0K$10.0K$20.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3,981.07 / $5,495.41 / $9,120.11
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7,244.36 / $7,244.36 / $8,709.64
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7,244.36 / $10,232.93 / $13,803.84
HMSA
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11,220.18 / $11,220.18 / $11,220.18
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6,760.83 / $11,220.18 / $12,882.50
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6,165.95 / $6,309.57 / $7,244.36
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5,370.32 / $7,079.46 / $12,022.64