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Rhode Island rates for HCPCS L5672

Addition to lower extremity, below knee (BK), removable medial brim suspension

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.88 / $223.87 / $645.65
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$616.60 / $831.76 / $977.24
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$165.96 / $218.78 / $446.68
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$245.47 / $245.47 / $295.12
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$218.78 / $218.78 / $295.12
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$234.42 / $275.42 / $489.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$190.55 / $239.88 / $346.74