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Rhode Island rates for HCPCS L5961

Addition, endoskeletal system, polycentric hip joint, pneumatic or hydraulic control, rotation control, with or without flexion and/or extension control

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,393.50 / $3,084.95 / $3,249.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,745.14 / $10,460.83 / $12,384.39
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,431.95 / $4,656.32 / $4,814.67
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,728.42 / $3,728.42 / $3,728.42
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,721.75 / $3,728.42 / $3,728.42
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,467.60 / $3,491.79 / $4,554.87