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Rhode Island rates for HCPCS L2114

Ankle Foot Orthosis Fracture Orthosis Tibial Fracture Orthosis Semi-Rigid Prefabricated Includes Fitting And Adjustment

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$336.09 / $392.74 / $456.22
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,087.56 / $1,468.88 / $1,738.98
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$427.06 / $502.42 / $695.60
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$408.60 / $408.60 / $444.93
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$298.27 / $408.60 / $408.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$296.20 / $383.75 / $639.58