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Rhode Island rates for HCPCS L4040

Replace Molded Thigh Lacer, For Custom Fabricated Orthotic Only

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$219.99 / $276.20 / $298.62
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$711.87 / $961.46 / $1,138.26
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$224.91 / $264.60 / $442.52
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$291.23 / $352.55 / $352.55
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.36 / $352.55 / $352.55
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$196.68 / $251.18 / $418.64