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Rhode Island rates for HCPCS L5540

Preparatory, below knee (BK) PTB type socket, nonalignable system, pylon, no cover, SACH foot, laminated socket, molded to model

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,082.63 / $1,304.74 / $1,469.58
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,503.29 / $4,731.64 / $5,601.72
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,375.64 / $1,618.40 / $2,240.73
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,433.22 / $1,599.98 / $1,599.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,167.99 / $1,599.98 / $1,599.98
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,117.25 / $1,415.06 / $2,060.27