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Rhode Island rates for HCPCS L5830

Addition, endoskeletal knee-shin system, single axis, pneumatic/swing phase control

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,326.80 / $1,367.87 / $1,801.03
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,293.42 / $5,798.81 / $6,865.11
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,685.91 / $1,983.42 / $2,746.10
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,654.54 / $1,654.54 / $1,756.46
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,207.81 / $1,654.54 / $1,654.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,369.24 / $1,709.84 / $2,524.92