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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
$30.90 / $38.02 / $112.20
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$104.71 / $144.54 / $165.96
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.18 / $38.02 / $77.62
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$41.69 / $41.69 / $44.67
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.11 / $33.11 / $44.67
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.74 / $46.77 / $83.18
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $40.74 / $60.26