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Rhode Island rates for HCPCS L5855

Addition Endoskeletal System Hip Disarticulation Mechanical Hip Extension Assist

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$161.94 / $219.84 / $222.62
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$524.08 / $707.85 / $838.01
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$177.40 / $208.71 / $335.20
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$214.41 / $239.78 / $239.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$175.04 / $239.78 / $239.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$167.14 / $236.27 / $308.20