go back

Rhode Island rates for HCPCS L1290

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.02 / $52.48 / $144.54
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$138.04 / $190.55 / $218.78
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.77 / $61.66 / $102.33
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.95 / $54.95 / $60.26
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.67 / $44.67 / $60.26
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$43.65 / $54.95 / $120.23
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.66 / $53.70 / $79.43