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Rhode Island rates for HCPCS L5280

Hemipelvectomy 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
$3,142.30 / $3,670.43 / $4,265.45
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,168.23 / $13,733.53 / $16,258.89
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,212.59 / $3,779.52 / $6,320.95
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,156.22 / $4,728.96 / $4,728.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,452.14 / $4,728.96 / $4,728.96
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,148.31 / $8,148.31 / $8,148.31
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,242.83 / $4,107.18 / $5,979.88