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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
$3,467.37 / $5,011.87 / $14,125.38
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,489.63 / $18,197.01 / $21,379.62
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,630.78 / $4,786.30 / $9,772.37
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,248.07 / $5,248.07 / $6,606.93
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,786.30 / $4,786.30 / $6,606.93
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,248.07 / $6,165.95 / $10,964.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,168.69 / $5,248.07 / $7,585.78