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Rhode Island rates for HCPCS 21256

Reconstruction Orbit W/Osteotomies & Bone Grafts

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,706.14 / $3,706.14 / $3,955.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,126.55 / $1,555.89 / $1,794.92
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,071.16 / $1,482.58 / $2,381.01
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,544.35 / $1,915.92 / $2,577.38
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
$1,111.66 / $1,786.56 / $2,700.98