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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
$374.24 / $470.83 / $508.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,211.02 / $1,635.62 / $1,936.38
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$382.61 / $450.13 / $752.81
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$624.54 / $624.54 / $624.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$455.91 / $624.54 / $624.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$386.21 / $545.97 / $712.19