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Rhode Island rates for HCPCS 40700

Plstc Rpr Cl Lip/Nsl Dfrm Prim Prtl/Compl Uni

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,639.81 / $3,955.04 / $5,496.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$863.37 / $1,001.31 / $1,223.58
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,154.00 / $1,357.65 / $1,775.27
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,143.01 / $1,620.82 / $2,094.28
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
$843.92 / $1,196.16 / $2,237.38