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Rhode Island rates for HCPCS L4100

Replace leather cuff KAFO, proximal thigh

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.66 / $64.57 / $204.17
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$194.98 / $263.03 / $309.03
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.23 / $74.13 / $141.25
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$74.13 / $77.62 / $77.62
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.70 / $53.70 / $74.13
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$57.54 / $72.44 / $158.49
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.88 / $72.44 / $109.65