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Rhode Island rates for HCPCS L5616

Addition to lower extremity, endoskeletal system, above knee (AK), universal multiplex system, friction swing phase control

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$804.07 / $979.06 / $1,091.46
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,601.91 / $3,514.20 / $4,160.39
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,021.69 / $1,201.99 / $1,664.20
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,018.60 / $1,018.60 / $1,064.45
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$743.58 / $743.58 / $743.58
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$829.79 / $1,084.33 / $1,530.17