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Rhode Island rates for HCPCS L5707

Custom Shaped Protective Cover Hip Disarticulation

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$748.54 / $891.74 / $1,016.09
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,422.23 / $3,271.57 / $3,873.16
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,118.99 / $1,118.99 / $1,549.29
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$990.95 / $1,232.20 / $1,232.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$899.51 / $1,232.20 / $1,232.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$772.49 / $987.64 / $1,424.51