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Rhode Island rates for HCPCS L1930

Ankle-foot orthosis (AFO), plastic or other material, prefabricated, includes fitting and adjustment

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$88.41 / $160.06 / $182.43
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$434.86 / $587.33 / $695.33
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$170.77 / $200.90 / $278.14
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$175.81 / $175.81 / $191.33
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.34 / $175.81 / $191.33
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.14 / $155.12 / $255.74