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Rhode Island rates for HCPCS L2628

Addition To Lower Extremity Pelvic Control Metal Frame Reciprocating Hip Joint And Cables

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$961.72 / $1,133.61 / $1,305.46
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,112.05 / $4,203.22 / $4,976.12
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,222.01 / $1,437.66 / $1,990.48
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,179.41 / $1,179.41 / $1,273.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$860.97 / $1,179.40 / $1,179.41
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$855.00 / $1,098.58 / $1,830.17