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Rhode Island rates for HCPCS L5781

Addition To Lower Limb Prosthesis Vacuum Pump Residual Limb Volume Management And Moisture Evacuation System

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,059.88 / $2,591.62 / $2,796.13
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,665.58 / $9,002.76 / $10,658.21
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,617.40 / $3,079.29 / $4,263.35
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,886.72 / $2,886.72 / $2,886.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,107.31 / $2,886.72 / $2,886.72
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,753.36 / $5,753.36 / $5,753.36
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,125.77 / $2,731.35 / $3,920.00