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Rhode Island rates for HCPCS L5637

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$174.43 / $208.25 / $236.77
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$564.42 / $762.33 / $902.50
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$191.06 / $224.78 / $361.01
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$230.91 / $232.98 / $232.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$170.08 / $232.98 / $232.98
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$180.01 / $227.98 / $331.94