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Rhode Island rates for HCPCS L5622

Addition To Lower Extremity Test Socket Knee Disarticulation

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$236.98 / $261.33 / $321.68
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$766.85 / $1,035.71 / $1,226.16
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$259.58 / $305.39 / $490.48
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$274.54 / $274.54 / $313.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$200.41 / $200.41 / $200.41
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$244.56 / $309.74 / $450.97