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Rhode Island rates for HCPCS L1100

Addition to cervical-thoracic-lumbar-sacral orthosis (CTLSO) or scoliosis orthosis, ring flange, plastic or leather

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $117.49 / $331.13
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$316.23 / $436.52 / $501.19
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.11 / $114.82 / $234.42
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$112.20 / $125.89 / $125.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.28 / $81.28 / $112.20
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$89.13 / $109.65 / $245.47
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.13 / $117.49 / $181.97