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Rhode Island rates for HCPCS L5972

All lower extremity prostheses, foot, flexible keel

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$215.45 / $254.06 / $292.45
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$697.16 / $941.60 / $1,114.74
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$273.76 / $322.07 / $445.91
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$285.20 / $293.77 / $293.77
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$214.45 / $293.77 / $293.77
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$564.00 / $564.00 / $564.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$222.34 / $281.60 / $410.00