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Rhode Island rates for HCPCS L5699

All Lower Extremity Prostheses Shoulder Harness

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$126.49 / $134.41 / $171.71
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$409.33 / $552.82 / $654.47
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$129.33 / $152.15 / $254.44
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$167.47 / $169.96 / $169.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$124.07 / $124.07 / $124.07
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$130.54 / $165.33 / $240.72