go back

Rhode Island rates for HCPCS L5985

All endoskeletal lower extremity prostheses, dynamic prosthetic pylon

Facilitymedian $631 · 10th–90th $204–$8130%10%20%10th90th$631Professionalmedian $170 · 10th–90th $148–$3310%20%10th90th$170$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
$147.91 / $169.82 / $537.03
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$512.86 / $691.83 / $812.83
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$169.82 / $229.09 / $389.05
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$204.17 / $204.17 / $218.78
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$162.18 / $162.18 / $218.78
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$204.17 / $234.42 / $416.87
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$158.49 / $204.17 / $288.40