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Rhode Island rates for HCPCS L5694

Addition To Lower Extremity Above Knee Pelvic Control Belt Padded And Lined

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$126.85 / $130.78 / $172.19
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$410.47 / $554.40 / $656.35
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$161.19 / $189.63 / $262.55
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$140.85 / $140.85 / $167.93
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.82 / $102.82 / $102.82
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$130.91 / $163.24 / $241.40