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Rhode Island rates for HCPCS L5695

Addition to lower extremity, above knee (AK), pelvic control, sleeve suspension, neoprene or equal, each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$96.29 / $117.56 / $130.71
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$311.60 / $420.83 / $498.21
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$105.48 / $124.09 / $199.29
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$122.31 / $122.31 / $127.47
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.29 / $122.31 / $122.31
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$99.37 / $130.19 / $183.24