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Rhode Island rates for HCPCS L6677

Upper extremity addition, harness, triple control, simultaneous operation of terminal device and elbow

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$152.72 / $192.14 / $207.30
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$494.19 / $667.47 / $790.20
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$156.13 / $183.69 / $307.20
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$231.66 / $231.66 / $231.66
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$169.11 / $231.66 / $231.66
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$159.61 / $202.51 / $290.63