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Rhode Island rates for HCPCS L1900

Ankle-foot orthosis (AFO), spring wire, dorsiflexion assist calf band, custom fabricated

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.83 / $181.97 / $549.54
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$524.81 / $707.95 / $831.76
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.36 / $199.53 / $380.19
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$190.55 / $208.93 / $208.93
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.04 / $138.04 / $190.55
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$151.36 / $186.21 / $416.87
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.36 / $190.55 / $295.12