go back

Rhode Island rates for HCPCS L5611

Addition to lower extremity, endoskeletal system, above knee (AK), knee disarticulation, four-bar linkage, with friction swing phase control

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,126.57 / $1,161.45 / $1,529.23
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,645.49 / $4,923.71 / $5,829.10
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,151.77 / $1,355.02 / $2,266.17
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,226.77 / $1,226.77 / $1,491.40
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$895.54 / $1,226.77 / $1,226.77
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,162.60 / $1,451.81 / $2,143.89