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Rhode Island rates for HCPCS L6925

Wrist Disarticulation External Power Self-Suspended Inner Socket Removable Forearm Shell Otto Bock Or Equal Electrodes Cables Two Batteries And One Charger Myoelectronic Control Of Terminal Device

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,650.14 / $5,554.10 / $6,312.23
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15,047.47 / $20,323.57 / $24,060.72
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,754.14 / $5,593.12 / $9,354.06
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,156.05 / $7,261.93 / $7,261.93
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,301.21 / $5,301.21 / $5,301.21
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,798.89 / $6,151.33 / $8,849.33