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Rhode Island rates for HCPCS L5988

Addition to lower limb prosthesis, vertical shock reducing pylon feature

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,028.46 / $1,293.94 / $1,396.06
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,328.01 / $4,494.92 / $5,321.47
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,126.57 / $1,325.38 / $2,128.62
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,346.19 / $1,346.19 / $1,411.04
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$982.72 / $1,346.19 / $1,346.19
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,074.80 / $1,363.70 / $1,957.19