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Rhode Island rates for HCPCS L6884

Replacement Socket Above Elbow/Elbow Disarticulation Molded To Patient Model For Use With Or Without External Power

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,180.88 / $1,602.97 / $1,623.99
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,821.23 / $5,161.04 / $6,110.07
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,207.30 / $1,420.35 / $2,375.41
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,283.76 / $2,283.76 / $2,283.76
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,667.14 / $2,283.76 / $2,283.76
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,218.66 / $1,782.40 / $2,247.23