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Hawaii rates for HCPCS L8042

Orbital prosthesis, provided by a nonphysician

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,630.05 / $1,630.05 / $1,630.05
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,200.00 / $7,200.00 / $7,200.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,214.74 / $3,214.74 / $4,717.63
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10,000.00 / $10,000.00 / $10,000.00
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,865.62 / $4,288.75 / $6,004.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,761.65 / $4,245.85 / $7,200.00
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,454.75 / $3,573.15 / $4,082.10