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Rhode Island rates for HCPCS 21025

Excision Bone Mandible

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
$648.77 / $848.48 / $1,346.83
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$676.10 / $820.98 / $1,727.70
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$889.61 / $1,329.03 / $1,648.16
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,219.00 / $7,228.00 / $12,680.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$654.74 / $1,066.46 / $1,679.09