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Rhode Island rates for HCPCS L5685

Addition To Lower Extremity Prosthesis Below Kneesuspension/Sealing Sleeve

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.94 / $82.96 / $89.51
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$213.37 / $288.19 / $341.18
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$98.57 / $98.57 / $136.47
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.03 / $100.03 / $100.03
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.02 / $100.03 / $100.03
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.05 / $91.89 / $125.49