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Rhode Island rates for HCPCS 21142

Rcnstj Midface Lefort I 2 Pieces W/O Bone Graft

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,993.72 / $3,706.14 / $3,955.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,239.58 / $1,342.59 / $2,168.39
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,192.84 / $1,651.00 / $2,800.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,699.65 / $2,240.96 / $2,836.41
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
$1,091.56 / $1,942.95 / $3,034.73