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Rhode Island rates for HCPCS 12055

Repair Intermediate F/E/E/N/L&/Muc 12.6-20.0cm

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
$225.93 / $365.65 / $452.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$313.33 / $443.91 / $718.10
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$358.52 / $608.12 / $1,002.87
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
$358.83 / $625.49 / $1,075.59