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Rhode Island rates for HCPCS L1220

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.05 / $148.03 / $149.90
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$352.88 / $476.61 / $564.26
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.57 / $163.02 / $225.71
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$144.36 / $185.61 / $185.61
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$135.50 / $185.61 / $185.61
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$105.53 / $124.52 / $207.53