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Rhode Island rates for HCPCS L6642

Upper extremity addition, excursion amplifier, lever type

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$139.47 / $156.75 / $189.32
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$451.32 / $609.57 / $721.65
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$142.59 / $167.75 / $280.56
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$184.64 / $225.10 / $225.10
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$164.32 / $225.10 / $225.10
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$172.06 / $172.06 / $172.06
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$143.93 / $179.50 / $265.42