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Rhode Island rates for HCPCS L5990

Addition To Lower Extremity Prosthesis User Adjustable Heel Height

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$934.00 / $1,175.08 / $1,267.82
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,022.34 / $4,082.08 / $4,832.70
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,186.78 / $1,396.21 / $1,933.11
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,222.54 / $1,222.54 / $1,222.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$892.45 / $892.45 / $892.45
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,608.67 / $2,608.67 / $2,608.67
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$976.08 / $1,412.77 / $1,777.43