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Rhode Island rates for HCPCS L1840

Knee Orthosis Derotation Medial-Lateral Anterior Cruciate Ligament Custom Fabricated

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$480.14 / $622.15 / $651.76
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,553.71 / $2,098.51 / $2,484.39
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$610.10 / $717.76 / $993.76
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$635.62 / $732.96 / $732.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$535.05 / $535.05 / $535.05
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,381.17 / $1,381.17 / $1,381.17
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$437.99 / $587.41 / $913.73