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Rhode Island rates for HCPCS L5645

Addition to lower extremity, below knee (BK), flexible inner socket, external frame

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$416.87 / $575.44 / $1,621.81
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,548.82 / $2,137.96 / $2,454.71
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$446.68 / $602.56 / $1,122.02
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$616.60 / $616.60 / $691.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$501.19 / $501.19 / $691.83
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$630.96 / $741.31 / $1,288.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$478.63 / $602.56 / $891.25