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Rhode Island rates for HCPCS L2622

Addition to lower extremity, pelvic control, hip joint, adjustable flexion, each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$201.17 / $207.50 / $273.06
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$650.97 / $879.20 / $1,040.86
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$205.66 / $241.95 / $404.66
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$215.87 / $215.87 / $266.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$157.59 / $215.87 / $215.87
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$156.50 / $246.10 / $382.83