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Rhode Island rates for HCPCS L5637

Addition to lower extremity, below knee (BK), total contact

Facilitymedian $661 · 10th–90th $229–$9330%10%20%10th90th$661Professionalmedian $200 · 10th–90th $174–$3800%20%10th90th$200$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
$173.78 / $194.98 / $616.60
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$575.44 / $794.33 / $933.25
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$169.82 / $223.87 / $426.58
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$229.09 / $229.09 / $234.42
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$169.82 / $169.82 / $234.42
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$229.09 / $269.15 / $467.74
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$181.97 / $229.09 / $331.13