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Rhode Island rates for HCPCS L5859

Addition To Lower Extremity Prosthesis Endoskeletal Knee-Shin System Powered And Programmable Flexion/Extension Assist Control Includes Any Type Motor(S)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7,469.69 / $9,735.27 / $10,465.96
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24,171.27 / $32,646.47 / $38,649.60
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12,771.90 / $15,025.76 / $15,025.76
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,812.54 / $9,812.54 / $9,812.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8,340.66 / $9,812.54 / $9,812.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7,834.36 / $10,598.45 / $14,214.99