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Rhode Island rates for HCPCS L5520

Preparatory Below Knee Ptb Type Socket Non-Alignable System Pylon No Cover Sach Foot Thermoplastic Or Equal Direct Formed

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,001.60 / $1,036.65 / $1,359.61
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,241.10 / $4,377.50 / $5,182.45
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,024.00 / $1,204.71 / $2,014.78
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,232.72 / $1,232.72 / $1,325.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$899.89 / $1,232.72 / $1,232.72
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,033.64 / $1,295.81 / $1,906.07