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Hawaii rates for HCPCS L8415

Prosthetic sheath, upper limb, each

Facilitymedian $17 · 10th–90th $16–$250%50%10th90th$17Professionalmedian $19 · 10th–90th $12–$340%20%10th90th$19$10.0$20.0$50.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.96 / $14.13 / $21.88
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$16.22 / $16.22 / $25.12
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.22 / $29.51 / $39.81
HMSA
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $32.36 / $33.88
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.50 / $32.36 / $37.15
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$16.98 / $17.38 / $20.42
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.14 / $19.50 / $34.67