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Rhode Island rates for HCPCS L5647

Addition To Lower Extremity Below Knee Suction Socket

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$556.20 / $573.41 / $755.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,799.82 / $2,430.91 / $2,877.92
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$706.74 / $831.46 / $1,151.19
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$596.58 / $596.58 / $735.67
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$435.50 / $435.50 / $435.50
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$629.41 / $629.41 / $629.41
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$497.26 / $715.79 / $1,058.47