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Rhode Island rates for HCPCS L1250

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.53 / $48.89 / $56.37
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$134.37 / $181.49 / $214.86
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.48 / $53.51 / $85.94
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.97 / $61.62 / $61.62
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.98 / $61.62 / $61.62
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.86 / $47.41 / $79.02