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Rhode Island rates for HCPCS 21089

Unlisted Maxillofacial Prosthetic Procedure

Insurance Carrier
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$181.28 / $403.14 / $539.35
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$540.00 / $1,401.00 / $4,915.00