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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
$557.16 / $656.96 / $756.31
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,802.93 / $2,435.09 / $2,882.87
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$569.62 / $670.14 / $1,120.77
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$737.60 / $957.73 / $957.73
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$699.14 / $957.73 / $957.73
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$574.99 / $728.24 / $1,060.30