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Rhode Island rates for HCPCS 25455

Epiphysl Arrst Epiphysiod/Stapling Dstl Rds&Ulna

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
$550.42 / $807.59 / $1,089.71
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$640.08 / $885.92 / $1,313.04
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$922.84 / $1,199.51 / $1,504.89
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,609.00 / $5,979.00 / $12,680.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$650.22 / $985.50 / $1,510.83