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Rhode Island rates for HCPCS 33764

Shunt Central W/Prosthetic Graft

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
$854.56 / $1,629.73 / $1,660.42
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,462.17 / $1,720.20 / $2,538.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,331.64 / $1,836.63 / $3,029.23
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
$1,440.70 / $1,880.31 / $2,960.90