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Rhode Island rates for HCPCS L6055

Wrist disarticulation, molded socket with expandable interface, flexible elbow hinges, triceps pad

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,742.28 / $1,908.56 / $2,365.02
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,637.87 / $7,614.66 / $9,014.86
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,781.25 / $2,095.59 / $3,504.70
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,306.50 / $2,476.09 / $2,476.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,807.55 / $2,476.09 / $2,476.09
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,798.02 / $2,277.26 / $3,315.60