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Rhode Island rates for HCPCS L7404

Addition To Upper Extremity Prosthesis Above Elbow Disarticulation Acrylic Material

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$286.14 / $360.01 / $388.42
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$925.95 / $1,250.63 / $1,480.60
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$292.54 / $344.17 / $575.61
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$434.07 / $434.07 / $434.07
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$316.87 / $434.07 / $434.07
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$295.30 / $398.72 / $544.54