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Rhode Island rates for HCPCS L5686

Addition to lower extremity, below knee (BK), back check (extension control)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.58 / $36.82 / $42.87
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$102.19 / $138.03 / $163.41
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.99 / $37.99 / $63.53
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$41.80 / $44.94 / $44.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.81 / $44.94 / $44.94
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.59 / $41.28 / $60.10