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Rhode Island rates for HCPCS L5964

Addition, endoskeletal system, above knee (AK), flexible protective outer surface covering system

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$537.03 / $676.08 / $1,949.84
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,862.09 / $2,511.89 / $2,951.21
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$537.03 / $724.44 / $1,348.96
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$707.95 / $741.31 / $741.31
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$512.86 / $512.86 / $707.95
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$741.31 / $870.96 / $1,513.56
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$575.44 / $724.44 / $1,071.52