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Rhode Island rates for HCPCS L5974

All Lower Extremity Prostheses Foot Single Axis Ankle/Foot

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$159.32 / $167.98 / $216.26
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$515.54 / $696.31 / $824.35
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.88 / $191.63 / $320.48
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$174.77 / $174.77 / $210.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$127.58 / $174.77 / $174.77
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$164.41 / $208.24 / $303.19