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Rhode Island rates for HCPCS L3540

Orthopedic Shoe Addition Sole Full (Special Coverage Instructions Apply. See Mcm: 2323)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.15 / $32.90 / $35.50
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$84.63 / $114.27 / $135.29
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.42 / $50.86 / $52.60
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.72 / $36.72 / $36.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.81 / $36.72 / $36.72
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.38 / $31.88 / $49.76