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Rhode Island rates for HCPCS L5624

Addition to lower extremity, test socket, above knee (AK)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$218.78 / $275.42 / $891.25
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$851.14 / $1,148.15 / $1,348.96
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$245.47 / $331.13 / $616.60
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$309.03 / $338.84 / $338.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$229.09 / $229.09 / $309.03
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$288.40 / $338.84 / $588.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$263.03 / $309.03 / $478.63