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Rhode Island rates for HCPCS L5639

Addition To Lower Extremity Below Knee Wood Socket

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$783.96 / $808.22 / $1,064.16
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,536.81 / $3,426.28 / $4,056.32
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$801.49 / $942.93 / $1,576.97
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$870.50 / $870.50 / $1,037.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$635.47 / $870.50 / $870.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$809.03 / $1,010.28 / $1,491.88