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Rhode Island rates for HCPCS L6675

Upper Extremity Addition Harness (E.G. Figure Of Eight Type) Single Cable Design. (Rvsd 1/1/04)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.97 / $86.57 / $113.99
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$271.72 / $366.99 / $434.48
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$106.70 / $125.53 / $173.80
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$90.07 / $90.07 / $111.16
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.75 / $90.07 / $90.07
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$86.66 / $108.06 / $159.80