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Hawaii rates for HCPCS L7191

Electronic elbow, child, Variety Village or equal, myoelectronically controlled

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,011.87 / $6,760.83 / $11,220.18
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,511.38 / $8,511.38 / $8,709.64
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8,709.64 / $9,549.93 / $13,489.63
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10,964.78 / $10,964.78 / $10,964.78
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,606.93 / $10,964.78 / $12,589.25
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,244.36 / $7,585.78 / $8,709.64
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,456.54 / $8,511.38 / $12,589.25