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Rhode Island rates for HCPCS L5677

Additions To Lower Extremity Below Knee Knee Joints Polycentric Pair

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$344.76 / $355.43 / $467.99
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,115.59 / $1,506.75 / $1,783.82
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$414.67 / $414.67 / $693.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$400.78 / $400.78 / $456.40
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$292.57 / $400.78 / $400.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$355.79 / $444.29 / $656.08