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Rhode Island rates for HCPCS L0466

Tlso Sagittal Control Rigid Posterior Frame And Flexible Soft Anterior Apron With Straps Closuresand Padding Restricts Gross Trunk Motion In Sagittal Plane Produces Intracavitary Pressure To Reduce Load On Intervertebral Disks Prefabricated Item That Has Been Trimmed Bent Molded Assembled Or Otherwise Customized To Fit A Specific Patient By An Individual With Expertise(Revised 01/01/14)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$212.17 / $252.80 / $288.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$686.56 / $927.31 / $1,097.82
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$216.91 / $255.19 / $426.80
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$295.70 / $295.70 / $295.70
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$215.87 / $295.70 / $295.70
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$208.12 / $208.12 / $208.12
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$177.97 / $242.26 / $403.77