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Rhode Island rates for HCPCS L1980

Ankle-foot orthosis (AFO), single upright free plantar dorsiflexion, solid stirrup, calf band/cuff (single bar 'BK' orthosis), custom fabricated

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$233.68 / $248.33 / $317.20
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$756.18 / $1,021.34 / $1,209.15
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$349.33 / $349.33 / $483.67
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$273.20 / $273.20 / $309.35
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.44 / $273.20 / $273.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$187.30 / $266.83 / $444.71