go back

Rhode Island rates for HCPCS 21147

Rcnstj Midface Lefort I 3/> Piece W/Bone Grafts

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
$1,541.67 / $2,144.28 / $2,518.35
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,464.58 / $2,027.10 / $2,925.55
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,111.56 / $2,637.64 / $3,543.71
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
$1,487.29 / $2,456.37 / $3,489.08