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Rhode Island rates for HCPCS L5643

Addition To Lower Extremity Hip Disarticulation Flexible Inner Socket External Frame

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,088.30 / $1,121.99 / $1,477.28
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,521.64 / $4,756.45 / $5,631.08
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,402.49 / $1,402.49 / $2,252.46
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,167.30 / $1,167.30 / $1,440.73
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$852.13 / $1,167.30 / $1,167.30
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,123.11 / $1,402.49 / $2,071.06