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Rhode Island rates for HCPCS L5500

Initial, below knee (BK) PTB type socket, nonalignable system, pylon, no cover, SACH foot, plaster socket, direct formed

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$767.07 / $925.83 / $1,041.25
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,482.17 / $3,352.53 / $3,969.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$922.63 / $922.63 / $1,543.02
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$963.22 / $963.22 / $1,015.49
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$703.15 / $963.22 / $963.23
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$824.44 / $1,002.61 / $1,459.76