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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
$4,981.76 / $4,981.76 / $4,981.76
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,545.78 / $8,545.78 / $8,545.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8,732.85 / $8,732.85 / $11,833.10
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10,757.36 / $11,264.25 / $11,264.25
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,454.42 / $10,757.36 / $15,060.30
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7,496.85 / $9,224.40 / $13,416.83
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,704.57 / $8,665.45 / $10,239.02