go back

Rhode Island rates for HCPCS L3995

Addition to upper extremity orthosis, sock, fracture or equal, each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.95 / $21.66 / $28.51
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$67.95 / $91.79 / $108.67
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.69 / $31.40 / $43.47
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.80 / $29.97 / $29.97
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.88 / $21.88 / $21.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.32 / $23.98 / $39.96