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Rhode Island rates for HCPCS L5728

Addition, exoskeletal knee-shin system, single axis, fluid swing and stance phase control

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,663.80 / $1,715.30 / $2,258.48
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,383.91 / $7,271.69 / $8,608.84
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,701.01 / $2,001.19 / $3,346.85
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,050.41 / $2,050.41 / $2,202.60
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,496.80 / $1,496.80 / $1,496.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,717.02 / $2,141.16 / $3,166.25