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Rhode Island rates for HCPCS L1030

Addition to cervical-thoracic-lumbar-sacral orthosis (CTLSO) or scoliosis orthosis, lumbar bolster pad

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.90 / $47.86 / $109.65
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$104.71 / $141.25 / $165.96
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.18 / $38.02 / $75.86
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$41.69 / $41.69 / $52.48
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.90 / $38.90 / $52.48
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35.48 / $43.65 / $97.72
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $41.69 / $60.26