go back

Rhode Island rates for HCPCS L5105

Below knee (BK), plastic socket, joints and thigh lacer, SACH foot

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,231.36 / $2,504.26 / $3,028.90
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,220.47 / $9,752.21 / $11,545.48
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,281.26 / $2,683.84 / $4,488.53
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,951.32 / $3,006.81 / $3,006.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,194.96 / $3,006.81 / $3,006.81
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,302.73 / $2,916.52 / $4,246.33