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Rhode Island rates for HCPCS L5650

Additions To Lower Extremity Total Contact Above Knee Or Knee Disarticulation Socket

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$256.01 / $347.51 / $351.91
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$828.44 / $1,118.92 / $1,324.67
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$329.92 / $329.92 / $529.87
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$338.61 / $379.03 / $379.03
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$276.69 / $276.69 / $276.69
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$264.20 / $373.49 / $487.20