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Rhode Island rates for HCPCS L5978

All lower extremity prostheses, foot, multiaxial ankle/foot

Facilitymedian $794 · 10th–90th $257–$1,0230%10%20%10th90th$794Professionalmedian $195 · 10th–90th $151–$3890%10%20%10th90th$195$200.0$500.0$1.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$151.36 / $194.98 / $691.83
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$645.65 / $891.25 / $1,047.13
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$186.21 / $251.19 / $478.63
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$245.47 / $257.04 / $257.04
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$177.83 / $177.83 / $245.47
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$229.09 / $269.15 / $478.63
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$199.53 / $251.19 / $371.54