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Rhode Island rates for HCPCS 33258

Atria Abltj & Rcnstj W/Other Px Extensiv W/O Byp

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,706.14 / $3,706.14 / $3,955.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$432.61 / $795.21 / $843.70
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$719.81 / $846.83 / $1,280.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$654.40 / $889.14 / $1,492.17
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,649.00 / $4,915.00 / $7,205.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$677.76 / $927.94 / $1,457.49