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Rhode Island rates for HCPCS L5230

Above knee (AK), for proximal femoral focal deficiency, constant friction knee, shin, SACH foot

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,995.26 / $2,818.38 / $7,413.10
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,918.31 / $9,549.93 / $11,220.18
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,344.23 / $3,162.28 / $5,128.61
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,754.23 / $2,754.23 / $2,884.03
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,089.30 / $2,089.30 / $2,884.03
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,019.95 / $3,548.13 / $6,165.95
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,238.72 / $2,884.03 / $3,981.07