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Rhode Island rates for HCPCS L5964

Addition Endoskeletal System Above Knee Flexible Protective Outer Surface Covering System

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$558.46 / $675.11 / $758.07
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,807.13 / $2,440.76 / $2,889.58
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$611.74 / $719.69 / $1,155.85
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$702.38 / $702.38 / $739.31
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$512.74 / $702.38 / $702.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$576.32 / $747.70 / $1,062.76