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Rhode Island rates for HCPCS L5595

Preparatory, hip disarticulation/hemipelvectomy, pylon, no cover, SACH foot, thermoplastic or equal, molded to patient model

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,593.44 / $2,902.58 / $3,520.41
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,392.18 / $11,334.73 / $13,418.99
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,119.35 / $3,119.35 / $5,216.89
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,433.29 / $3,578.08 / $3,578.08
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,612.00 / $2,612.00 / $2,612.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,676.40 / $3,337.54 / $4,935.39