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Rhode Island rates for HCPCS L1850

Knee Orthosis Swedish Type Prefabricated Off- The- Shelf (Revised 01/01/14)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$161.40 / $194.76 / $236.54
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$472.14 / $551.30 / $819.51
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$190.88 / $224.57 / $268.52
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$214.95 / $214.95 / $230.70
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$156.91 / $214.95 / $214.95
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$137.12 / $198.97 / $331.62