go back

Rhode Island rates for HCPCS L1200

Thoracic-Lumbar-Sacral-Orthosis (Tlso) Inclusive Of Furnishing Initial Orthosis Only

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$915.51 / $1,060.17 / $1,242.73
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,962.50 / $4,001.22 / $4,736.97
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,163.29 / $1,368.58 / $1,894.83
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,184.20 / $1,184.20 / $1,211.99
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$864.47 / $1,184.20 / $1,184.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$799.60 / $1,045.33 / $1,742.23