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Rhode Island rates for HCPCS 21485

Closed Tx Temporomandibular Dislc Comp 1st/Sbsq

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,090.73 / $2,778.87 / $3,955.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$573.80 / $889.44 / $1,064.43
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$787.91 / $964.10 / $1,372.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$694.56 / $1,181.50 / $1,792.76
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,812.00 / $4,049.00 / $5,510.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$508.23 / $1,075.98 / $1,651.54