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Rhode Island rates for HCPCS L5210

Above knee (AK), short prosthesis, no knee joint (stubbies), with foot blocks, no ankle joints, each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,383.32 / $1,749.25 / $1,877.76
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,476.31 / $6,045.88 / $7,157.61
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,414.26 / $1,663.84 / $2,782.66
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,819.89 / $1,819.89 / $1,831.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,328.52 / $1,819.89 / $1,819.89
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,453.01 / $1,937.34 / $2,632.50