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Rhode Island rates for HCPCS L5646

Addition to lower extremity, below knee (BK), air, fluid, gel or equal, cushion socket

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$302.00 / $426.58 / $1,348.96
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,288.25 / $1,737.80 / $2,041.74
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$346.74 / $457.09 / $933.25
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$407.38 / $512.86 / $512.86
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$302.00 / $302.00 / $407.38
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$436.52 / $501.19 / $891.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$398.11 / $467.74 / $724.44