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Rhode Island rates for HCPCS L1810

Knee orthosis (KO), elastic with joints, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.79 / $66.64 / $69.06
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$164.66 / $222.39 / $263.27
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.56 / $65.56 / $105.32
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$67.36 / $88.85 / $88.85
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.86 / $84.33 / $88.85
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.91 / $62.25 / $96.84