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Rhode Island rates for HCPCS L3209

Surgical boot, each, child

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.57 / $22.14 / $25.53
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.20 / $31.64 / $36.59
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.77 / $16.20 / $16.20
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.60 / $27.60 / $27.60
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.14 / $27.60 / $27.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.98 / $20.94 / $30.29