go back

Rhode Island rates for HCPCS 21188

Rcnstj Mdfc Oth/Thn Lefort Osteot & 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
$1,451.46 / $2,001.56 / $2,451.91
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,357.74 / $1,879.22 / $3,040.79
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,957.52 / $2,617.51 / $3,343.11
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
$1,439.23 / $2,294.62 / $3,449.42