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Rhode Island rates for HCPCS 15572

Formation of direct or tubed pedicle, with or without transfer; scalp, arms, or legs

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,424.15 / $3,243.94 / $3,955.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$562.23 / $693.02 / $912.99
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$656.13 / $925.77 / $1,293.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$773.88 / $999.20 / $1,818.33
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,838.00 / $5,111.00 / $9,622.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$679.27 / $1,128.64 / $1,946.93