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Rhode Island rates for HCPCS L4090

Replace metal bands KAFO-AFO, calf or distal thigh

Facilitymedian $214 · 10th–90th $66$2750%10%20%10th90th$214Professionalmedian $56 · 10th–90th $49$1100%20%10th90th$56$50.0$100.0$200.0$500.0

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
Setting
Professional
Modifier
Global
Typical Low
$48.98
Median
$56.23
Typical High
$181.97
BCBS
Setting
Facility
Modifier
Global
Typical Low
$173.78
Median
$234.42
Typical High
$275.42
BCBS
Setting
Professional
Modifier
Global
Typical Low
$50.12
Median
$66.07
Typical High
$125.89
Cigna
Setting
Facility
Modifier
Global
Typical Low
$66.07
Median
$69.18
Typical High
$69.18
Cigna
Setting
Professional
Modifier
Global
Typical Low
$48.98
Median
$48.98
Typical High
$66.07
United
Setting
Facility
Modifier
Global
Typical Low
$50.12
Median
$63.10
Typical High
$138.04
United
Setting
Professional
Modifier
Global
Typical Low
$46.77
Median
$63.10
Typical High
$97.72