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Rhode Island rates for HCPCS L5636

Addition to lower extremity, Symes type, medial opening socket

Facilitymedian $724 · 10th–90th $234–$9550%10%10th90th$724Professionalmedian $178 · 10th–90th $148–$3550%20%10th90th$178$200.0$500.0$1.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$147.91 / $177.83 / $630.96
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$588.84 / $812.83 / $954.99
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$173.78 / $229.09 / $436.52
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$194.98 / $234.42 / $234.42
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$144.54 / $144.54 / $194.98
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$199.53 / $234.42 / $416.87
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$181.97 / $218.78 / $338.84