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Rhode Island rates for HCPCS L5985

All endoskeletal lower extremity prostheses, dynamic prosthetic pylon

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$152.71 / $184.07 / $207.29
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$494.15 / $667.43 / $790.16
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.04 / $228.28 / $316.06
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$201.97 / $220.51 / $220.51
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$160.97 / $220.51 / $220.51
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$157.59 / $203.86 / $290.61