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Rhode Island rates for HCPCS 21275

Secondary Revision Orbitocraniofacial Rcnstj

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
$770.98 / $1,075.92 / $1,259.24
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$728.75 / $1,008.65 / $1,629.51
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,050.68 / $1,358.53 / $1,748.41
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
$754.42 / $1,211.94 / $1,848.49