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Rhode Island rates for HCPCS L7401

Addition to upper extremity prosthesis, above elbow disarticulation, ultra-light material (titanium, carbon fiber or equal)

Facilitymedian $741 · 10th–90th $269$9330%10%20%10th90th$741Professionalmedian $204 · 10th–90th $174$3550%20%10th90th$204$200.0$500.0$1.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$173.78
Median
$204.17
Typical High
$616.60
BCBS
Setting
Facility
Modifier
Global
Typical Low
$588.84
Median
$812.83
Typical High
$933.25
BCBS
Setting
Professional
Modifier
Global
Typical Low
$158.49
Median
$213.80
Typical High
$426.58
Cigna
Setting
Facility
Modifier
Global
Typical Low
$269.15
Median
$269.15
Typical High
$269.15
Cigna
Setting
Professional
Modifier
Global
Typical Low
$194.98
Median
$194.98
Typical High
$269.15
United
Setting
Facility
Modifier
Global
Typical Low
$245.47
Median
$281.84
Typical High
$501.19
United
Setting
Professional
Modifier
Global
Typical Low
$181.97
Median
$245.47
Typical High
$338.84