go back

Rhode Island rates for HCPCS L5629

Addition To Lower Extremity Below Knee Acrylic Socket

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$222.21 / $229.09 / $301.64
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$719.05 / $971.16 / $1,149.74
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$282.35 / $332.18 / $459.92
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$248.05 / $248.05 / $294.18
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.08 / $248.05 / $248.05
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$229.32 / $285.98 / $422.87