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Rhode Island rates for HCPCS L7403

Addition To Upper Extremity Prosthesis Below Elbow/Wrist Disarticulation Acrylic Material

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$189.59 / $238.53 / $257.35
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$613.48 / $828.58 / $980.93
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$207.67 / $244.32 / $392.39
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$286.80 / $286.80 / $286.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$209.36 / $209.36 / $209.36
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$195.65 / $247.79 / $360.78