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Rhode Island rates for HCPCS L5822

Addition Endoskeletal Knee-Shin System Single Axis Pneumatic Swing Friction Stance Phase Control

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,190.71 / $1,227.57 / $1,616.30
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,853.02 / $5,204.03 / $6,160.96
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,512.98 / $1,779.98 / $2,464.42
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,367.82 / $1,367.82 / $1,576.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$998.51 / $1,367.82 / $1,367.82
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,347.44 / $1,347.44 / $1,347.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,064.53 / $1,462.86 / $2,265.94