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Rhode Island rates for HCPCS L7402

Addition to upper extremity prosthesis, shoulder disarticulation/interscapular thoracic, ultra-light material (titanium, carbon fiber or equal)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$190.76 / $240.00 / $258.94
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$617.28 / $833.73 / $987.05
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$195.02 / $229.44 / $383.73
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$318.35 / $318.35 / $318.35
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$232.40 / $318.35 / $318.35
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$196.86 / $249.34 / $363.03