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Rhode Island rates for HCPCS L3630

Transfer Of An Orthosis From One Shoe To Another Solid Stirrup New (Special Coverage Instructions Apply. See Mcm: 2323)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.62 / $64.95 / $70.06
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$167.04 / $225.62 / $267.10
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.77 / $62.08 / $103.84
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$67.56 / $67.56 / $67.56
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.33 / $67.56 / $67.58
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.72 / $63.15 / $98.24