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Rhode Island rates for HCPCS L6687

Upper extremity addition, frame type socket, below elbow or wrist disarticulation

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$302.49 / $410.61 / $415.81
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$978.83 / $1,322.05 / $1,565.15
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$452.19 / $452.19 / $626.07
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$400.45 / $432.60 / $432.60
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$315.80 / $432.60 / $432.60
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$456.41 / $456.41 / $456.41
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$312.17 / $425.78 / $575.65