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Rhode Island rates for HCPCS L5698

Addition To Lower Extremity Above Knee Or Knee Disarticulation Silesian Bandage

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.01 / $75.19 / $85.53
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$203.89 / $275.38 / $326.02
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.06 / $94.19 / $130.41
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.42 / $99.25 / $99.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.45 / $72.45 / $72.45
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$82.54 / $82.54 / $82.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.33 / $82.36 / $119.90