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Rhode Island rates for HCPCS L5814

Addition, endoskeletal knee-shin system, polycentric, hydraulic swing phase control, mechanical stance phase lock

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,911.96 / $2,405.52 / $2,595.35
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,186.93 / $8,356.24 / $9,892.81
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,094.35 / $2,463.94 / $3,957.19
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,502.67 / $2,502.67 / $2,528.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,826.95 / $2,502.67 / $2,502.67
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,998.13 / $2,664.18 / $3,638.49