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Rhode Island rates for HCPCS L3257

Orthopedic footwear, additional charge for split size

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.96 / $14.13 / $46.77
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.18 / $28.18 / $28.18
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.42 / $20.42 / $28.18
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.13 / $14.13 / $17.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.18 / $19.50 / $27.54