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Rhode Island rates for HCPCS L5651

Addition to lower extremity, above knee (AK), flexible inner socket, external frame

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$839.71 / $865.70 / $1,139.83
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,717.23 / $3,669.98 / $4,344.82
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,255.27 / $1,255.27 / $1,737.95
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,110.65 / $1,200.11 / $1,200.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$876.09 / $1,200.11 / $1,200.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$866.57 / $1,080.63 / $1,597.99