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Rhode Island rates for HCPCS L5631

Addition to lower extremity, above knee (AK) or knee disarticulation, acrylic socket

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$263.03 / $316.23 / $1,071.52
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,023.29 / $1,412.54 / $1,621.81
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$295.12 / $398.11 / $741.31
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$331.13 / $407.38 / $407.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$239.88 / $239.88 / $331.13
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$346.74 / $407.38 / $724.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$316.23 / $380.19 / $588.84