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Rhode Island rates for HCPCS L1940

Ankle-foot orthosis (AFO), plastic or other material, custom fabricated

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$302.00 / $338.84 / $1,148.15
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,071.52 / $1,479.11 / $1,737.80
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$363.08 / $489.78 / $794.33
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$371.54 / $426.58 / $426.58
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$269.15 / $269.15 / $371.54
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$275.42 / $338.84 / $758.58
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$275.42 / $398.11 / $616.60