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Rhode Island rates for HCPCS 12047

Repair Intermediate N/H/F/Xtrnl Gent >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
$284.80 / $431.50 / $519.47
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$366.40 / $495.09 / $783.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$429.32 / $679.76 / $1,110.34
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,812.00 / $4,049.00 / $5,510.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$403.51 / $592.32 / $1,176.99