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Rhode Island rates for HCPCS L5692

Addition to lower extremity, above knee (AK), pelvic control belt, light

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.18 / $91.20 / $288.40
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$275.42 / $371.54 / $436.52
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.33 / $123.03 / $199.53
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $109.65 / $109.65
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.44 / $72.44 / $100.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$104.71 / $123.03 / $218.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.11 / $107.15 / $158.49