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Rhode Island rates for HCPCS L5688

Addition to lower extremity, below knee (BK), waist belt, webbing

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.31 / $41.69 / $131.83
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$123.03 / $169.82 / $199.53
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.31 / $47.86 / $91.20
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45.71 / $48.98 / $48.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.11 / $33.11 / $45.71
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47.86 / $56.23 / $100.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.02 / $47.86 / $70.79