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Rhode Island rates for HCPCS L5971

All lower extremity prostheses, solid ankle cushion heel (SACH) foot, replacement only

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$142.00 / $146.40 / $192.77
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$459.52 / $620.65 / $734.78
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$155.56 / $183.01 / $293.91
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$159.21 / $159.21 / $159.21
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$116.22 / $159.21 / $159.21
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$146.55 / $183.00 / $270.24