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Rhode Island rates for HCPCS L5671

Addition to lower extremity, below knee (BK)/above knee (AK) suspension locking mechanism (shuttle, lanyard, or equal), excludes socket insert

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$260.85 / $354.09 / $358.57
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$844.10 / $1,140.08 / $1,349.71
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$389.94 / $389.94 / $539.89
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$380.63 / $380.63 / $380.63
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$277.86 / $380.63 / $380.63
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$280.36 / $394.56 / $496.41