go back

Rhode Island rates for HCPCS L5973

Endoskeletal ankle foot system, microprocessor controlled feature, dorsiflexion and/or plantar flexion control, includes power source

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8,912.51 / $10,471.29 / $28,840.32
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30,199.52 / $40,738.03 / $47,863.01
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8,317.64 / $11,220.18 / $21,877.62
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,882.50 / $12,882.50 / $12,882.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9,332.54 / $9,332.54 / $12,882.50
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,302.69 / $14,454.40 / $25,703.96
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9,332.54 / $12,302.69 / $17,378.01