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Rhode Island rates for HCPCS L5624

Addition To Lower Extremity Test Socket Above Knee

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$254.20 / $262.08 / $345.07
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$822.60 / $1,111.01 / $1,315.31
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$278.45 / $327.60 / $526.13
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$311.77 / $311.77 / $336.53
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$227.60 / $311.77 / $311.77
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$262.33 / $327.60 / $483.76