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Rhode Island rates for HCPCS L5665

Addition to lower extremity, socket insert, multidurometer, below knee (BK)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$269.15 / $398.11 / $1,258.93
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,202.26 / $1,621.81 / $1,905.46
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$346.74 / $457.09 / $870.96
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$457.09 / $478.63 / $478.63
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$331.13 / $331.13 / $457.09
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$407.38 / $467.74 / $831.76
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$371.54 / $436.52 / $676.08