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Rhode Island rates for HCPCS L5690

Addition to lower extremity, below knee (BK), waist belt, padded and lined

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.70 / $75.86 / $239.88
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$229.09 / $309.03 / $363.08
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.86 / $102.33 / $165.96
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$91.20 / $91.20 / $97.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.79 / $70.79 / $97.72
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$77.62 / $91.20 / $158.49
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.79 / $83.18 / $128.82