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Rhode Island rates for HCPCS L6629

Upper extremity addition, quick disconnect lamination collar with coupling piece, Otto Bock or equal

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.11 / $114.82 / $275.42
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$263.03 / $363.08 / $416.87
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.86 / $102.33 / $194.98
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$104.71 / $104.71 / $112.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.18 / $83.18 / $112.20
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$114.82 / $134.90 / $239.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.11 / $112.20 / $151.36