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Rhode Island rates for HCPCS L5984

All endoskeletal lower extremity prostheses, axial rotation unit, with or without adjustability

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$363.03 / $410.66 / $492.79
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,174.73 / $1,586.57 / $1,878.32
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$461.29 / $542.69 / $751.35
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$427.25 / $427.25 / $480.59
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$311.89 / $427.25 / $427.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$374.64 / $474.49 / $690.84