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Rhode Island rates for HCPCS L6621

Upper Extremity Prosthesis Addition Flexion/Extension Wrist With Or Without Friction For Use With External Powered Terminal Device

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,177.55 / $1,481.52 / $1,598.44
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,810.46 / $5,146.52 / $6,092.87
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,203.89 / $1,416.34 / $2,368.71
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,786.24 / $1,786.24 / $1,786.24
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,303.96 / $1,786.24 / $1,786.24
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,215.22 / $1,717.90 / $2,240.91