go back

Rhode Island rates for HCPCS L5020

Partial foot, molded socket, tibial tubercle height, with toe filler

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,092.67 / $1,428.58 / $1,499.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,535.77 / $4,775.54 / $5,653.67
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,388.41 / $1,633.42 / $2,261.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,446.51 / $1,486.28 / $1,486.28
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,084.98 / $1,486.28 / $1,486.28
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,174.39 / $1,593.82 / $2,079.37