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Rhode Island rates for HCPCS 12017

Simple Repair F/E/E/N/L/M 20.1cm-30.0 Cm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,090.73 / $2,778.87 / $3,955.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.79 / $151.12 / $180.94
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$133.02 / $156.49 / $255.70
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$180.74 / $212.32 / $318.22
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$540.00 / $1,401.00 / $4,915.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$137.43 / $249.67 / $367.46