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Rhode Island rates for HCPCS L8415

Prosthetic sheath, upper limb, each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.99 / $15.46 / $20.34
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$48.50 / $65.51 / $77.55
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.03 / $18.03 / $30.15
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.30 / $16.30 / $19.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.91 / $16.30 / $16.30
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.47 / $19.29 / $28.52