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Rhode Island rates for HCPCS L5653

Addition to lower extremity, knee disarticulation, expandable wall socket

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$302.00 / $407.38 / $1,122.02
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,071.52 / $1,445.44 / $1,698.24
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$288.40 / $380.19 / $776.25
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$426.58 / $426.58 / $549.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$407.38 / $407.38 / $549.54
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$457.09 / $537.03 / $954.99
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$346.74 / $446.68 / $602.56