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Rhode Island rates for HCPCS L5632

Addition to lower extremity, Symes type, PTB brim design socket

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$132.72 / $160.06 / $180.15
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$429.45 / $580.04 / $686.70
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$198.39 / $198.39 / $274.68
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$166.52 / $166.52 / $175.68
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$121.56 / $166.52 / $166.52
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$136.96 / $173.47 / $252.55