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Rhode Island rates for HCPCS L7401

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$176.64 / $222.24 / $239.78
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$571.61 / $772.05 / $914.01
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$180.59 / $212.46 / $355.34
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$267.94 / $267.94 / $267.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$195.60 / $267.94 / $267.94
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$182.29 / $257.70 / $336.16