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Rhode Island rates for HCPCS L4100

Replace leather cuff KAFO, proximal thigh

Facilitymedian $240 · 10th–90th $74–$3090%10%20%10th90th$240Professionalmedian $65 · 10th–90th $58–$1230%50%10th90th$65$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
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$57.54 / $64.57 / $204.17
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$194.98 / $263.03 / $309.03
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$56.23 / $74.13 / $141.25
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$74.13 / $77.62 / $77.62
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$53.70 / $53.70 / $74.13
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$57.54 / $72.44 / $158.49
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$53.70 / $72.44 / $109.65