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Rhode Island rates for HCPCS L2630

Addition to lower extremity, pelvic control, band and belt, unilateral

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.54 / $158.49 / $537.03
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$501.19 / $691.83 / $794.33
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.54 / $194.98 / $371.54
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$173.78 / $199.53 / $199.53
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.89 / $125.89 / $173.78
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$138.04 / $169.82 / $380.19
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.04 / $186.21 / $288.40