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Rhode Island rates for HCPCS 21387

Open Tx Orbital Floor Blowout Fx Combined Appr

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,438.26 / $3,955.04 / $4,576.20
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$661.63 / $974.24 / $1,058.69
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$662.36 / $916.76 / $1,421.36
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$954.96 / $1,190.10 / $1,616.22
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
$678.32 / $1,113.58 / $1,612.38