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Rhode Island rates for HCPCS L5828

Addition Endoskeletal Knee-Shin System Single Axis Fluid Swing And Stance Phase Control

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,974.56 / $2,035.69 / $2,680.32
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,389.51 / $8,629.87 / $10,216.77
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,162.92 / $2,544.61 / $4,086.77
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,117.90 / $2,117.90 / $2,614.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,546.07 / $1,546.07 / $1,546.07
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,037.73 / $2,541.09 / $3,757.64