go back

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
$3,703.46 / $4,659.47 / $5,027.18
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,984.10 / $16,186.11 / $19,162.46
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,536.27 / $5,536.27 / $7,665.11
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,898.43 / $6,042.00 / $6,042.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,410.66 / $6,042.00 / $6,042.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,870.38 / $4,840.66 / $7,047.78