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Hawaii rates for HCPCS L8400

Prosthetic sheath, below knee, each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.26 / $9.26 / $9.26
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24.41 / $24.41 / $24.41
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.44 / $14.44 / $33.79
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.73 / $32.18 / $32.18
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.44 / $30.73 / $43.02
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.42 / $24.41 / $33.79
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.44 / $19.20 / $29.25