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Rhode Island rates for HCPCS 21143

Rcnstj Midface Lefort I 3/> Piece W/O Bone Graft

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,993.72 / $3,787.95 / $7,400.19
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,317.22 / $1,785.37 / $2,205.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,214.92 / $1,681.55 / $2,756.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,751.61 / $2,377.35 / $2,946.23
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
$1,267.31 / $2,042.22 / $3,127.45