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Hawaii rates for HCPCS L8046

Partial facial prosthesis, provided by a nonphysician

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,304.04 / $1,304.04 / $1,304.04
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,725.63 / $2,725.63 / $2,725.63
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,808.29 / $3,774.12 / $3,774.12
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,431.02 / $3,592.69 / $3,592.69
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,292.50 / $3,431.02 / $4,803.43
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,209.32 / $2,725.63 / $3,774.12
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,763.80 / $2,858.53 / $3,265.70