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Rhode Island rates for HCPCS L1950

Ankle Foot Orthosis Spiral (Institute Of Rehabilitative Medicine Type) Plastic Custom-Fabricated. (Rvsd 1/1/04)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$469.44 / $503.98 / $637.22
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,519.06 / $2,051.71 / $2,428.98
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$514.22 / $604.96 / $971.61
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$524.34 / $524.34 / $621.46
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$382.77 / $524.34 / $524.34
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$380.12 / $574.29 / $893.36