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Rhode Island rates for HCPCS L1755

Legg Perthes Orthotic, (Patten Bottom Type), Custom Fabricated

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,039.10 / $1,071.27 / $1,410.51
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,362.46 / $4,541.46 / $5,376.56
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,320.35 / $1,553.35 / $2,150.66
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,375.61 / $1,395.53 / $1,395.53
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,018.74 / $1,018.74 / $1,018.74
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$807.98 / $1,186.47 / $1,977.45