go back

Rhode Island rates for HCPCS L6638

Upper Extremity Addition To Prosthesis Electric Locking Feature Only For Use With Manually Powered Elbow

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,287.43 / $1,619.76 / $1,747.60
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,166.01 / $5,626.75 / $6,661.41
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,316.23 / $1,548.50 / $2,589.75
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,952.91 / $1,952.91 / $1,952.91
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,425.62 / $1,952.91 / $1,952.91
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,328.62 / $1,793.93 / $2,450.01