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Rhode Island rates for HCPCS L5696

Addition To Lower Extremity Above Knee Or Knee Disarticulation Pelvic Joint

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$124.34 / $133.38 / $168.78
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$402.37 / $543.44 / $643.36
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$127.12 / $149.55 / $250.12
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$138.76 / $138.76 / $164.61
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$101.29 / $138.76 / $138.76
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$296.08 / $296.08 / $296.08
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.32 / $160.02 / $236.63