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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
$2,884.03 / $3,311.31 / $10,232.93
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,772.37 / $13,182.57 / $15,488.17
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,630.27 / $3,548.13 / $7,079.46
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,890.45 / $3,890.45 / $4,365.16
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,162.28 / $3,162.28 / $4,365.16
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,073.80 / $4,786.30 / $8,511.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,090.30 / $3,981.07 / $5,623.41