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Rhode Island rates for HCPCS L1990

Ankle-foot orthosis (AFO), 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
$257.04 / $309.03 / $977.24
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$933.25 / $1,258.93 / $1,479.11
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$309.03 / $416.87 / $676.08
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$316.23 / $371.54 / $371.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$229.09 / $229.09 / $316.23
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$245.47 / $309.03 / $676.08
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$251.19 / $338.84 / $524.81