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Rhode Island rates for HCPCS L5505

Initial Above Knee - Knee Disarticulation Ischial Level Socket Non-Alignable System Pylon No Cover Sach Foot Plaster Socket Direct Formed

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,073.75 / $1,253.82 / $1,457.55
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,474.57 / $4,692.88 / $5,555.81
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,097.78 / $1,291.50 / $2,159.92
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,421.48 / $1,620.00 / $1,620.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,182.59 / $1,620.00 / $1,620.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,783.46 / $2,783.46 / $2,783.46
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,108.10 / $1,403.46 / $2,043.38