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Rhode Island rates for HCPCS L5614

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$868.74 / $1,092.98 / $1,179.24
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,811.15 / $3,796.84 / $4,495.01
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,044.90 / $1,044.90 / $1,747.52
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,317.79 / $1,317.79 / $3,012.51
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$961.99 / $1,317.79 / $1,317.79
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$896.52 / $1,210.52 / $1,653.23