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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
$12.02 / $14.13 / $52.48
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.12 / $67.61 / $79.43
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.49 / $18.20 / $36.31
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.22 / $19.95 / $19.95
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.02 / $12.02 / $16.22
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.98 / $19.95 / $34.67
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.49 / $18.20 / $28.84