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Rhode Island rates for HCPCS L2036

Knee Ankle Foot Orthosis Full Plastic Double Upright With Or Without Free Motion Ankle Customfabricated

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,217.68 / $1,255.38 / $1,652.91
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,940.31 / $5,321.90 / $6,300.50
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,547.25 / $1,820.29 / $2,520.23
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,306.07 / $1,306.07 / $1,612.01
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$953.43 / $1,306.07 / $1,306.07
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$946.83 / $1,390.36 / $2,317.27