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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
$383.11 / $394.97 / $520.04
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,239.72 / $1,674.38 / $1,982.27
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$391.68 / $460.80 / $770.64
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$410.92 / $410.92 / $507.18
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$299.97 / $410.92 / $410.92
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$395.36 / $493.71 / $729.07