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Rhode Island rates for HCPCS L5638

Addition to lower extremity, below knee (BK), leather socket

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$255.22 / $346.44 / $372.49
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$825.85 / $1,115.42 / $1,320.52
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$306.97 / $306.97 / $513.38
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$337.86 / $503.81 / $503.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$367.78 / $367.78 / $367.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$274.30 / $372.27 / $485.68