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Rhode Island rates for HCPCS L2128

Knee Ankle Foot Orthosis Fracture Orthosis Femoral Fracture Cast Orthosis Custom-Fabricated

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,125.40 / $1,160.25 / $1,527.65
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,641.72 / $4,918.63 / $5,823.08
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,150.58 / $1,353.62 / $2,263.83
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,207.09 / $1,207.09 / $1,489.85
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$881.18 / $1,207.09 / $1,207.09
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$875.08 / $1,285.01 / $2,141.67