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Rhode Island rates for HCPCS L5979

All lower extremity prostheses, multiaxial ankle, dynamic response foot, one-piece system

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,242.08 / $1,644.85 / $1,686.06
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,019.31 / $5,428.63 / $6,426.86
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,578.28 / $1,856.80 / $2,570.78
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,644.34 / $1,711.28 / $1,711.28
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,249.23 / $1,711.28 / $1,711.28
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,281.83 / $1,684.33 / $2,363.73