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Rhode Island rates for HCPCS L4350

Ankle Control Orthosis Stirrup Style Rigid Includes Any Type Interface (E.G. Pneumatic Gel)Prefabricated Off-The-Shelf (Revised 01/01/14) D 1/1/04)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.40 / $60.49 / $69.38
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$165.40 / $223.41 / $264.49
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.99 / $65.87 / $105.79
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$67.66 / $68.22 / $73.06
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.80 / $68.22 / $73.06
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.62 / $62.53 / $97.28