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Rhode Island rates for HCPCS L1690

Combination Bilateral Lumbo-Sacral Hip Femur Orthosis Providing Adduction And Internal Rotation Control Prefabricated Includes Fitting And Adjustment

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$993.59 / $1,250.07 / $1,348.73
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,215.17 / $4,342.55 / $5,141.06
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,262.51 / $1,485.31 / $2,056.46
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,300.55 / $1,300.55 / $1,300.55
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$949.40 / $949.40 / $949.40
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$888.30 / $1,134.50 / $1,890.83