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Rhode Island rates for HCPCS L4205

Repair Of Orthotic Device Labor Component Per 15 Minutes (Special Coverage Instructions Apply. See Mcm: 2100.4)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.00 / $12.00 / $15.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.93 / $42.83 / $49.53
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.64 / $21.93 / $21.93
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.22 / $22.22 / $22.22
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.22 / $22.26 / $24.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.67 / $16.42 / $24.48