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Rhode Island rates for HCPCS L5668

Addition to lower extremity, below knee (BK), molded distal cushion

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.70 / $72.44 / $229.09
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$218.78 / $295.12 / $346.74
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.10 / $83.18 / $158.49
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85.11 / $85.11 / $89.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.57 / $64.57 / $89.13
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$79.43 / $93.33 / $165.96
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.61 / $81.28 / $123.03