go back

Hawaii rates for HCPCS L6935

Below elbow, 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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,461.96 / $3,461.96 / $3,461.96
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,239.32 / $8,239.32 / $8,239.32
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7,503.37 / $7,503.37 / $11,408.74
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10,371.58 / $10,860.29 / $10,860.29
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,222.95 / $10,371.58 / $14,520.21
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7,192.06 / $8,239.32 / $11,408.74
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,535.85 / $8,354.70 / $9,871.83