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Rhode Island rates for HCPCS L4130

Replace Pretibial Shell

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$244.22 / $331.51 / $335.70
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$790.26 / $1,067.35 / $1,263.61
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$249.68 / $293.74 / $491.26
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$323.31 / $373.57 / $373.57
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$272.70 / $373.57 / $373.57
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$276.36 / $276.36 / $276.36
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$236.34 / $278.85 / $464.75