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Rhode Island rates for HCPCS L2755

Addition to lower extremity orthosis, high strength, lightweight material, all hybrid lamination/prepreg composite, per segment, for custom fabricated orthosis only

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.11 / $84.46 / $91.10
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$217.16 / $293.33 / $347.27
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.52 / $86.49 / $138.91
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$88.76 / $88.85 / $88.85
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.86 / $88.85 / $88.85
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.00 / $82.11 / $127.72