go back

Rhode Island rates for HCPCS L1990

Ankle Foot Orthosis Double Upright Free Plantar Dorsiflexion Solid Stirrup Calf Band/Cuff (Double Bar Bk Orthosis) Custom-Fabricated

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$278.00 / $301.61 / $377.38
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$899.60 / $1,215.05 / $1,438.47
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$353.25 / $415.59 / $575.40
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$313.79 / $313.79 / $368.03
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$229.07 / $313.79 / $313.79
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$227.48 / $317.43 / $529.04