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Rhode Island rates for HCPCS L6696

Addition To Upper Extremity Prosthesis Below Elbow/Above Elbow Custom

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$677.19 / $852.21 / $919.23
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,191.33 / $2,959.68 / $3,503.91
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$860.46 / $1,012.31 / $1,401.59
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$886.63 / $886.63 / $886.63
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$647.24 / $886.63 / $886.63
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$698.84 / $987.93 / $1,288.70