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Rhode Island rates for HCPCS L5656

Addition to lower extremity, socket insert, knee disarticulation (Kemblo, Pelite, Aliplast, Plastazote or equal)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$196.42 / $266.63 / $267.41
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$635.58 / $858.44 / $1,016.29
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$236.25 / $236.25 / $395.10
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$260.02 / $335.84 / $335.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$245.16 / $245.16 / $245.16
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$211.10 / $286.54 / $373.78