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Rhode Island rates for HCPCS L1845

Knee Orthosis Double Upright Thigh And Calf With Adjustable Flexion And Extension Joint (Unicentric Or Polycentric) Medial-Lateral And Rotation Control With Or Without Varus/Valgus Adjustment Prefabricated Item That Has Been Trimmed Bent Molded Assembled Or Otherwise Customized To Fit A Specific Patient By An Individual With Expertise (Revised 01/01/14)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$305.45 / $518.75 / $581.91
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,387.21 / $1,873.59 / $2,218.12
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$640.85 / $640.85 / $887.26
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$567.52 / $632.51 / $632.51
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$461.73 / $632.51 / $632.51
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$389.35 / $524.47 / $815.81