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Rhode Island rates for HCPCS L5692

Addition To Lower Extremity Above Knee Pelvic Control Belt Light

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.42 / $95.79 / $111.89
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$266.70 / $360.19 / $426.42
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.74 / $123.22 / $170.57
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$99.66 / $99.66 / $109.12
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.75 / $99.66 / $99.66
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.68 / $106.08 / $156.84