go back

Rhode Island rates for HCPCS L5000

Partial Foot Shoe Insert With Longitudinal Arch Toe Filler (Special Coverage Instructions Apply. See Mcm: 2323)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$264.97 / $359.67 / $364.22
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$857.41 / $1,158.05 / $1,370.99
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$290.24 / $341.46 / $548.40
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$350.77 / $459.90 / $459.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$335.73 / $335.73 / $335.73
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$284.77 / $372.97 / $504.24