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Rhode Island rates for HCPCS L4110

Replace leather cuff KAFO-AFO, calf or distal thigh

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.94 / $57.38 / $67.79
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$161.61 / $218.29 / $258.42
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.36 / $64.36 / $103.37
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$61.81 / $61.81 / $66.12
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.12 / $61.81 / $61.81
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.39 / $58.76 / $95.04