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Rhode Island rates for HCPCS 12041

Repair Intermediate N/H/F/Xtrnl Gent 2.5cm/<

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$854.50 / $1,311.61 / $3,955.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$133.62 / $186.74 / $259.61
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$152.52 / $233.44 / $377.70
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$172.51 / $296.64 / $518.96
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$540.00 / $1,183.00 / $4,915.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$190.35 / $297.05 / $455.56