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Rhode Island rates for HCPCS L5968

Addition To Lower Limb Prosthesis Multiaxial Ankle With Swing Phase Active Dorsiflexion Feature

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,870.82 / $2,353.73 / $2,539.50
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,053.80 / $8,176.47 / $9,679.99
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,796.67 / $2,796.67 / $3,872.06
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,448.80 / $2,448.80 / $2,448.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,787.62 / $2,448.80 / $2,448.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,930.67 / $2,606.83 / $3,560.22