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Rhode Island rates for HCPCS L5637

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

Rates data updated July 2026.

How much does HCPCS L5637 cost?

$224

Typical negotiated rate. In Rhode Island, July 2026.

Insurers have agreed to pay about $224 for this service. The price depends on where it is billed: about $224 from a physician practice, and about $661 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 4 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$224$174 to $234
FacilityA hospital or hospital-owned outpatient department$661$269 to $832

How much rates vary

Facilitymedian $661 · 10th to 90th $229 to $933Professionalmedian $224 · 10th to 90th $174 to $263
$200$500$1K$2Kfacility $661professional $224

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$173.78
Median
$194.98
Typical High
$263.03
BCBS
Setting
Facility
Modifier
Global
Typical Low
$575.44
Median
$794.33
Typical High
$933.25
BCBS
Setting
Professional
Modifier
Global
Typical Low
$190.55
Median
$223.87
Typical High
$354.81
Cigna
Setting
Facility
Modifier
Global
Typical Low
$229.09
Median
$229.09
Typical High
$234.42
Cigna
Setting
Professional
Modifier
Global
Typical Low
$169.82
Median
$169.82
Typical High
$169.82
United
Setting
Facility
Modifier
Global
Typical Low
$229.09
Median
$269.15
Typical High
$467.74
United
Setting
Professional
Modifier
Global
Typical Low
$181.97
Median
$229.09
Typical High
$331.13

Where Rhode Island sits

The same service costs 2.7 times more in Hawaii than in Delaware. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Rhode Island· 27th of 51

$224

HI $490DE $182

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.