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Rhode Island rates for HCPCS L5795

Addition, exoskeletal system, hip disarticulation, ultra-light material (titanium, carbon fiber or equal)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$750.75 / $773.99 / $1,019.09
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,429.36 / $3,281.18 / $3,884.52
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$902.99 / $902.99 / $1,510.18
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$908.11 / $908.11 / $993.86
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$662.92 / $662.92 / $662.92
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,718.25 / $1,718.25 / $1,718.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$774.77 / $981.27 / $1,428.69