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Rhode Island rates for HCPCS L5700

Replacement, socket, below knee (BK), molded to patient model

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,528.10 / $1,974.14 / $2,074.29
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,944.82 / $6,678.63 / $7,906.72
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,941.69 / $2,284.34 / $3,162.75
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,022.95 / $2,400.00 / $2,400.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,752.00 / $2,400.00 / $2,400.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,576.99 / $2,186.41 / $2,908.02