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Rhode Island rates for HCPCS L7403

Addition to upper extremity prosthesis, below elbow/wrist disarticulation, acrylic material

Facilitymedian $794 · 10th–90th $288$1,0000%10%20%10th90th$794Professionalmedian $219 · 10th–90th $186$3800%20%10th90th$219$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
$186.21
Median
$218.78
Typical High
$660.69
BCBS
Setting
Facility
Modifier
Global
Typical Low
$630.96
Median
$870.96
Typical High
$1,000.00
BCBS
Setting
Professional
Modifier
Global
Typical Low
$181.97
Median
$245.47
Typical High
$457.09
Cigna
Setting
Facility
Modifier
Global
Typical Low
$288.40
Median
$288.40
Typical High
$288.40
Cigna
Setting
Professional
Modifier
Global
Typical Low
$208.93
Median
$208.93
Typical High
$288.40
United
Setting
Facility
Modifier
Global
Typical Low
$263.03
Median
$302.00
Typical High
$537.03
United
Setting
Professional
Modifier
Global
Typical Low
$194.98
Median
$263.03
Typical High
$363.08