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Rhode Island rates for HCPCS L1110

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$148.36 / $172.81 / $201.39
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$480.09 / $648.41 / $767.65
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$178.44 / $178.44 / $298.44
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$196.41 / $225.30 / $225.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$164.47 / $225.30 / $225.30
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$383.64 / $383.64 / $383.64
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$130.34 / $176.96 / $282.33