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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
$58.10 / $70.58 / $78.87
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$188.02 / $253.95 / $300.64
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.64 / $74.87 / $120.27
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$73.43 / $73.43 / $76.92
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.60 / $73.42 / $73.43
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.69 / $68.40 / $110.58