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Rhode Island rates for HCPCS L5150

Knee disarticulation (or through knee), molded socket, external knee joints, shin, SACH foot

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,883.80 / $2,531.46 / $2,557.67
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,095.81 / $8,233.21 / $9,747.17
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,925.93 / $2,265.80 / $3,789.40
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,493.84 / $3,249.00 / $3,249.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,371.77 / $3,249.00 / $3,249.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,024.68 / $2,592.21 / $3,584.92