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Rhode Island rates for HCPCS L5100

Below Knee, Molded Socket, Shin, Sach Foot

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,465.01 / $1,675.42 / $1,988.66
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,740.66 / $6,402.90 / $7,580.28
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,190.04 / $2,190.04 / $3,032.16
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,743.07 / $1,743.07 / $1,937.73
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,272.44 / $1,272.44 / $1,272.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,511.89 / $1,914.86 / $2,787.96