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Rhode Island rates for HCPCS L5987

All lower extremity prostheses, shank foot system with vertical loading pylon

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,715.35 / $4,570.88 / $12,882.50
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,302.69 / $16,982.44 / $19,498.45
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,168.69 / $5,495.41 / $9,120.11
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,897.79 / $4,897.79 / $6,025.60
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,365.16 / $4,365.16 / $6,025.60
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,128.61 / $6,025.60 / $10,471.29
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,890.45 / $4,897.79 / $7,079.46