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Rhode Island rates for HCPCS L5639

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$660.69 / $776.25 / $2,754.23
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,630.27 / $3,548.13 / $4,168.69
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$707.95 / $933.25 / $1,905.46
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$870.96 / $1,047.13 / $1,047.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$630.96 / $630.96 / $870.96
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$891.25 / $1,023.29 / $1,819.70
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$812.83 / $954.99 / $1,479.11