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Hawaii rates for HCPCS L8410

Prosthetic sheath, above knee, each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.21 / $11.21 / $11.21
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.13 / $28.13 / $28.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.62 / $16.62 / $38.97
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.43 / $37.10 / $37.10
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.26 / $35.43 / $49.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.98 / $28.13 / $38.97
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.48 / $22.11 / $33.72