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Rhode Island rates for HCPCS L7405

Addition to upper extremity prosthesis, shoulder disarticulation/interscapular thoracic, acrylic material

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$371.54 / $467.74 / $1,318.26
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,258.93 / $1,698.24 / $1,995.26
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$338.84 / $446.68 / $912.01
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$630.96 / $630.96 / $630.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$457.09 / $457.09 / $630.96
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$512.86 / $602.56 / $1,071.52
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$389.05 / $501.19 / $707.95