go back

Rhode Island rates for HCPCS 38200

Injection Procedure Splenoportograpy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,518.41 / $1,543.03 / $3,955.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$110.20 / $126.52 / $180.47
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$216.95 / $279.07 / $321.93
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$145.10 / $170.71 / $324.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$133.82 / $209.31 / $280.95
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$540.00 / $1,401.00 / $4,915.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$135.76 / $179.15 / $281.67