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Rhode Island rates for HCPCS L5676

Additions to lower extremity, below knee (BK), knee joints, single axis, pair

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$248.92 / $261.22 / $337.90
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$805.50 / $1,087.97 / $1,288.02
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$316.30 / $372.12 / $515.22
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$271.77 / $271.77 / $329.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$198.39 / $271.77 / $271.77
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$256.89 / $325.37 / $473.72