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Rhode Island rates for HCPCS L1280

Addition to thoracic-lumbar-sacral orthosis (TLSO), (low profile), rib gusset (elastic), each

Facilitymedian $214 · 10th–90th $72–$3020%10%10th90th$214Professionalmedian $56 · 10th–90th $45–$1150%20%40%10th90th$56$50.0$100.0$200.0$500.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$44.67 / $56.23 / $199.53
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$190.55 / $257.04 / $302.00
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$54.95 / $72.44 / $138.04
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$72.44 / $74.13 / $74.13
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$53.70 / $53.70 / $72.44
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$47.86 / $60.26 / $131.83
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$48.98 / $69.18 / $107.15