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Rhode Island rates for HCPCS L7404

Addition to upper extremity prosthesis, above elbow disarticulation, acrylic material

Facilitymedian $1,202 · 10th–90th $437$1,5140%10%20%10th90th$1,202Professionalmedian $331 · 10th–90th $282$5750%20%10th90th$331$200.0$500.0$1.0K$2.0K

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
$281.84
Median
$331.13
Typical High
$1,000.00
BCBS
Setting
Facility
Modifier
Global
Typical Low
$954.99
Median
$1,288.25
Typical High
$1,513.56
BCBS
Setting
Professional
Modifier
Global
Typical Low
$257.04
Median
$346.74
Typical High
$691.83
Cigna
Setting
Facility
Modifier
Global
Typical Low
$436.52
Median
$436.52
Typical High
$436.52
Cigna
Setting
Professional
Modifier
Global
Typical Low
$316.23
Median
$316.23
Typical High
$436.52
United
Setting
Facility
Modifier
Global
Typical Low
$398.11
Median
$457.09
Typical High
$812.83
United
Setting
Professional
Modifier
Global
Typical Low
$295.12
Median
$398.11
Typical High
$549.54