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Rhode Island rates for HCPCS L5722

Addition, exoskeletal knee-shin system, single axis, pneumatic swing, friction stance phase control

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$517.46 / $650.86 / $702.42
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,674.47 / $2,261.57 / $2,677.44
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$529.04 / $622.40 / $1,040.90
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$685.04 / $875.29 / $875.29
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$638.96 / $875.29 / $875.29
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$534.02 / $720.84 / $984.74