go back

Rhode Island rates for HCPCS L5702

Replacement, socket, hip disarticulation, including hip joint, molded to patient model

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,290.87 / $2,884.03 / $8,317.64
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,943.28 / $10,964.78 / $12,589.25
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,691.53 / $3,548.13 / $5,754.40
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,162.28 / $3,162.28 / $3,715.35
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,754.23 / $2,754.23 / $3,715.35
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,467.37 / $3,981.07 / $7,079.46
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,570.40 / $3,311.31 / $4,570.88