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Rhode Island rates for HCPCS 21440

Cltx Mandibular/Maxillary Alveolar Ridge Fx Spx

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,424.15 / $3,243.94 / $3,955.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$458.65 / $667.58 / $883.35
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$612.16 / $765.06 / $1,139.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$530.80 / $937.57 / $1,263.07
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,569.00 / $4,571.00 / $7,350.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$431.66 / $900.13 / $1,398.13