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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
$335.33 / $455.19 / $460.95
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,085.09 / $1,465.58 / $1,735.07
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$403.33 / $403.33 / $674.54
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$572.20 / $572.20 / $4,439.92
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$417.71 / $572.20 / $572.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$346.06 / $485.80 / $638.14