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Rhode Island rates for HCPCS L5920

Addition, endoskeletal system, above knee (AK) or hip disarticulation, alignable system

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$275.42 / $371.54 / $1,318.26
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,230.27 / $1,698.24 / $1,949.84
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$416.87 / $549.54 / $912.01
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$398.11 / $489.78 / $489.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$288.40 / $288.40 / $398.11
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$416.87 / $489.78 / $870.96
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$380.19 / $457.09 / $707.95