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Rhode Island rates for HCPCS 21155

Rcnstj Midface Lefort Iii W/Lefort I

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
$1,992.76 / $2,766.20 / $3,116.82
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,844.87 / $2,553.46 / $4,346.27
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,659.85 / $3,741.88 / $4,449.68
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
$1,712.41 / $3,015.24 / $4,749.64