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Rhode Island rates for HCPCS L5626

Addition To Lower Extremity Test Socket Hip Disarticulation

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$302.73 / $343.70 / $410.94
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$979.61 / $1,323.10 / $1,566.40
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$384.68 / $452.56 / $626.57
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$400.76 / $493.58 / $493.58
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$360.31 / $493.58 / $493.58
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$763.01 / $763.01 / $763.01
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$312.42 / $395.69 / $576.11