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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
$41.55 / $53.18 / $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
$62.11 / $62.11 / $85.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.01 / $60.55 / $60.55
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.20 / $60.55 / $60.55
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$118.06 / $118.06 / $118.06
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.44 / $47.44 / $79.06