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Rhode Island rates for HCPCS L2624

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$163.00 / $221.26 / $241.63
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$527.46 / $712.40 / $843.40
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$207.12 / $243.67 / $337.37
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$215.78 / $291.02 / $291.02
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$212.45 / $291.02 / $291.02
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$184.46 / $184.46 / $184.46
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$157.74 / $186.42 / $310.19