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Rhode Island rates for HCPCS L5642

Addition To Lower Extremity Above Knee Leather Socket

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$324.91 / $441.04 / $446.62
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,051.38 / $1,420.03 / $1,681.15
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$332.18 / $390.80 / $653.58
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$430.13 / $530.41 / $530.41
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$387.20 / $387.20 / $387.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$349.21 / $424.68 / $618.30