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Rhode Island rates for HCPCS L5200

Above Knee Molded Socket Single Axis Constant Friction Knee Shin Sach Foot

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,196.84 / $2,381.38 / $2,982.06
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,108.79 / $9,601.35 / $11,366.88
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,245.98 / $2,642.33 / $4,419.09
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,728.17 / $2,728.17 / $2,908.28
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,991.56 / $1,991.56 / $1,991.56
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,978.08 / $2,871.40 / $4,180.64