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Rhode Island rates for HCPCS L4000

Replace Girdle For Spinal Orthotic (Cervic-Thoracic-Lumbar-Sacor

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$752.31 / $862.74 / $1,021.22
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,434.42 / $3,288.00 / $3,892.60
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$904.88 / $904.88 / $1,513.32
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$897.58 / $897.58 / $995.93
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$655.23 / $655.23 / $655.23
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$650.70 / $859.00 / $1,431.67