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Rhode Island rates for HCPCS L1260

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.55 / $51.19 / $56.40
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$134.44 / $181.58 / $214.97
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.79 / $62.11 / $85.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.01 / $71.02 / $71.02
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.84 / $71.02 / $71.02
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.04 / $49.60 / $79.06