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Rhode Island rates for HCPCS L5649

Addition to lower extremity, ischial containment/narrow M-L socket

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$998.46 / $1,355.33 / $1,457.30
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,230.93 / $4,363.79 / $5,166.22
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,093.70 / $1,286.71 / $2,066.52
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,320.62 / $1,800.00 / $1,800.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,314.00 / $1,800.00 / $1,800.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,073.13 / $1,405.43 / $1,900.09