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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
$257.04 / $338.84 / $912.01
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$870.96 / $1,174.90 / $1,380.38
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$295.12 / $389.05 / $630.96
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$380.19 / $380.19 / $380.19
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$275.42 / $275.42 / $380.19
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$398.11 / $457.09 / $812.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$281.84 / $380.19 / $501.19