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Rhode Island rates for HCPCS L5250

Hip Disarticulation Canadian Type; Molded Socket Hip Joint Single Axis Constant Friction Knee Shin Sach Foot

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,921.84 / $3,740.27 / $3,966.19
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,454.83 / $12,769.99 / $15,118.18
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,987.19 / $3,514.34 / $5,877.48
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,868.04 / $4,366.38 / $4,366.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,187.46 / $4,366.38 / $4,366.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,106.84 / $3,819.02 / $5,560.34