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Rhode Island rates for HCPCS 21175

Rcnstj Bifrontal Superior-Lat Orb Rims & Lwr Fhd

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,438.26 / $3,706.14 / $4,026.21
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,993.26 / $2,247.73 / $3,169.02
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,889.75 / $2,615.58 / $4,097.10
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,724.56 / $3,723.23 / $4,607.62
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,609.00 / $5,979.00 / $12,680.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,012.90 / $2,763.98 / $4,647.67