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Rhode Island rates for HCPCS L2627

Addition to lower extremity, pelvic control, plastic, molded to patient model, reciprocating hip joint and cables

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,125.11 / $1,159.95 / $1,527.27
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,640.79 / $4,917.38 / $5,821.60
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,429.64 / $1,681.93 / $2,328.67
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,206.80 / $1,206.80 / $1,489.46
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$880.96 / $1,206.80 / $1,206.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$856.45 / $1,284.68 / $2,141.13