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Rhode Island rates for HCPCS L5856

Addition to lower extremity prosthesis, endoskeletal knee-shin system, microprocessor control feature, swing and stance phase, includes electronic sensor(s), any type

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12,499.54 / $15,571.41 / $16,967.21
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40,447.41 / $54,629.51 / $64,674.94
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13,190.49 / $15,518.22 / $25,282.28
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16,200.25 / $16,200.25 / $16,200.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11,826.18 / $16,200.25 / $16,200.25
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34,568.35 / $34,568.35 / $34,568.35
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12,899.39 / $17,245.77 / $23,786.90