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Rhode Island rates for HCPCS L7400

Addition To Upper Extremity Prosthesis Below Elbow Elbow/Wrist Disarticulation Ultralight Material (Titanium Carbon Fiber Or Equal)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$157.79 / $198.52 / $214.18
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$510.59 / $689.63 / $816.43
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$200.49 / $235.87 / $326.58
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$239.35 / $239.35 / $239.35
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$174.73 / $174.73 / $174.73
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.83 / $230.19 / $300.27