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Rhode Island rates for HCPCS L6920

Wrist disarticulation, external power, self-suspended inner socket, removable forearm shell, Otto Bock or equal switch, cables, two batteries and one charger, switch control of terminal device

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,999.73 / $4,810.89 / $5,429.35
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,942.78 / $17,480.90 / $20,695.34
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,810.81 / $4,810.81 / $8,045.70
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,294.99 / $6,541.83 / $6,541.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,775.54 / $6,541.83 / $6,541.83
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,680.11 / $10,680.11 / $10,680.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,127.68 / $5,227.88 / $7,611.57