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Rhode Island rates for HCPCS 21196

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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
$1,293.41 / $1,405.52 / $2,237.25
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,234.73 / $1,708.96 / $2,866.33
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,774.08 / $2,389.60 / $2,954.20
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
$1,263.74 / $2,008.47 / $3,149.35