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Rhode Island rates for HCPCS 25490

Proph Tx N/P/Pltwr W/Wo Methylacrylate Radius

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
$604.75 / $917.10 / $1,079.93
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$629.29 / $871.00 / $1,335.59
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$907.28 / $1,396.20 / $1,488.99
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
$662.12 / $1,015.43 / $1,515.05