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Rhode Island rates for HCPCS 21050

Condylectomy Temporomandibular Joint Spx

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
$782.60 / $1,092.10 / $1,250.52
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$747.69 / $1,034.86 / $1,670.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,077.99 / $1,409.06 / $1,811.43
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
$788.38 / $1,104.83 / $1,895.33