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Rhode Island rates for HCPCS L5782

Addition to lower limb prosthesis, vacuum pump, residual limb volume management and moisture evacuation system, heavy-duty

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,171.58 / $2,732.14 / $2,947.76
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,027.04 / $9,490.93 / $11,236.15
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,759.33 / $3,246.27 / $4,368.27
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,294.10 / $3,294.10 / $3,294.10
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,404.69 / $3,294.10 / $3,294.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,241.05 / $3,168.05 / $4,132.56