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Rhode Island rates for HCPCS L2795

Addition to lower extremity orthosis, knee control, full kneecap

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.75 / $56.43 / $75.70
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$180.46 / $243.75 / $288.56
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.86 / $83.36 / $115.42
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.69 / $62.81 / $73.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.85 / $56.69 / $62.81
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.36 / $63.68 / $106.13