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Rhode Island rates for HCPCS L5640

Addition to lower extremity, knee disarticulation, leather socket

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$371.54 / $446.68 / $1,174.90
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,122.02 / $1,513.56 / $1,778.28
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$302.00 / $407.38 / $812.83
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$575.44 / $4,466.84 / $4,466.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$416.87 / $416.87 / $575.44
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$501.19 / $588.84 / $1,047.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$363.08 / $489.78 / $630.96