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Rhode Island rates for HCPCS L5301

Below Knee, Molded Socket, Shin, Sach Foot, Endoskeletal System

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,286.42 / $1,655.14 / $1,746.21
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,162.72 / $5,622.31 / $6,656.16
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,923.04 / $1,923.04 / $2,662.51
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,721.98 / $1,721.98 / $1,721.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,257.05 / $1,721.98 / $1,721.98
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,674.38 / $3,674.38 / $3,674.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,374.83 / $1,945.85 / $2,448.08