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Rhode Island rates for HCPCS L5706

Custom shaped protective cover, knee disarticulation

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$537.03 / $660.69 / $1,949.84
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,862.09 / $2,511.89 / $2,951.21
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$501.19 / $676.08 / $1,348.96
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$741.31 / $741.31 / $954.99
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$691.83 / $691.83 / $954.99
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$724.44 / $831.76 / $1,479.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$575.44 / $724.44 / $1,071.52