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Rhode Island rates for HCPCS L2387

Addition To Lower Extremity Polycentric Knee Joint For Custom Fabricated Knee Ankle Foot Orthosis Each Joint

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$108.62 / $111.98 / $147.44
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$351.48 / $474.70 / $561.99
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.02 / $162.38 / $224.81
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$116.51 / $116.51 / $116.51
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.05 / $116.50 / $116.51
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$92.18 / $92.18 / $92.18
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.68 / $124.02 / $206.70