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Rhode Island rates for HCPCS L3995

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

Facilitymedian $85 · 10th–90th $28–$1120%10%10th90th$85Professionalmedian $22 · 10th–90th $18–$430%20%10th90th$22$20.0$50.0$100.0$200.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$18.20 / $20.89 / $32.36
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$70.79 / $95.50 / $112.20
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$23.44 / $31.62 / $53.70
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$27.54 / $27.54 / $30.20
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$21.88 / $21.88 / $30.20
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$17.78 / $22.39 / $48.98
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$17.78 / $25.70 / $39.81