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Rhode Island rates for HCPCS L5628

Addition To Lower Extremity Test Socket Hemipelvectomy

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$286.83 / $348.05 / $389.35
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$928.17 / $1,253.60 / $1,484.12
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$345.00 / $345.00 / $576.98
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$379.72 / $499.82 / $499.82
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$364.87 / $499.82 / $499.82
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$382.03 / $382.03 / $382.03
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$296.00 / $385.47 / $545.85