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Rhode Island rates for HCPCS 21138

Rdctj Fhd Cntrg & Prosthetic Matrl/Bone Graft

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
$831.20 / $1,166.31 / $1,381.30
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$791.26 / $1,095.16 / $1,765.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,140.78 / $1,437.05 / $1,903.69
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
$821.34 / $1,319.57 / $2,003.09