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Rhode Island rates for HCPCS 21245

Rcnstj Mndbl/Maxl Subpriosteal Implant Partial

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,706.14 / $3,955.04 / $5,496.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$819.18 / $1,192.19 / $1,655.14
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$961.10 / $1,236.35 / $2,156.26
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,256.15 / $1,632.90 / $2,280.98
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
$990.44 / $1,726.66 / $2,541.11