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Rhode Island rates for HCPCS L5220

Above Knee Short Prosthesis No Knee Joint (Stubbies) With Articulated Ankle/Foot Dynamically Aligned Each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,484.69 / $1,988.34 / $2,015.36
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,804.33 / $6,488.86 / $7,682.05
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,517.90 / $1,785.76 / $2,986.54
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,965.49 / $2,482.86 / $2,482.86
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,812.49 / $2,482.86 / $2,482.86
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,182.50 / $2,182.50 / $2,182.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,595.73 / $2,165.96 / $2,825.40