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Rhode Island rates for HCPCS L6695

Addition to upper extremity prosthesis, below elbow/above elbow, custom fabricated from existing mold or prefabricated, socket insert, silicone gel, elastomeric or equal, not for use with locking mechanism

Facilitymedian $1,445 · 10th–90th $513$1,8200%20%10th90th$1,445Professionalmedian $380 · 10th–90th $288$6920%10%20%10th90th$380$500.0$1.0K$2.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$288.40
Median
$371.54
Typical High
$1,202.26
BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,148.15
Median
$1,584.89
Typical High
$1,819.70
BCBS
Setting
Professional
Modifier
Global
Typical Low
$309.03
Median
$416.87
Typical High
$831.76
Cigna
Setting
Facility
Modifier
Global
Typical Low
$562.34
Median
$562.34
Typical High
$562.34
Cigna
Setting
Professional
Modifier
Global
Typical Low
$407.38
Median
$407.38
Typical High
$562.34
United
Setting
Facility
Modifier
Global
Typical Low
$436.52
Median
$512.86
Typical High
$912.01
United
Setting
Professional
Modifier
Global
Typical Low
$354.81
Median
$446.68
Typical High
$660.69