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Rhode Island rates for HCPCS L1210

Addition to thoracic-lumbar-sacral orthosis (TLSO), (low profile), lateral thoracic extension

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.80 / $174.83 / $177.05
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$416.78 / $562.91 / $666.42
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$165.98 / $165.98 / $266.58
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$170.51 / $190.69 / $190.69
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$139.19 / $190.69 / $190.69
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$124.64 / $157.58 / $245.11