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Rhode Island rates for HCPCS L1900

Ankle Foot Orthosis Spring Wire Dorsiflexion Assist Calf Band Custom-Fabricated

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$156.34 / $182.54 / $212.23
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$505.91 / $683.31 / $808.95
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$171.26 / $201.48 / $323.58
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$189.91 / $189.91 / $206.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.63 / $189.91 / $189.91
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.51 / $186.92 / $297.52