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Rhode Island rates for HCPCS L5631

Addition To Lower Extremity Above Knee Or Knee Disarticulation Acrylic Socket

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$307.22 / $316.74 / $417.03
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$994.16 / $1,342.74 / $1,589.64
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$336.53 / $395.92 / $635.87
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$329.53 / $329.53 / $406.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$240.56 / $329.53 / $329.53
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$317.05 / $401.56 / $584.65