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Hawaii rates for HCPCS L8415

Prosthetic sheath, upper limb, each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.96 / $14.13 / $21.88
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.22 / $16.22 / $25.12
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.22 / $28.18 / $39.81
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $32.36 / $33.88
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.50 / $32.36 / $37.15
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.98 / $17.38 / $20.42
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.14 / $21.88 / $34.67