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Rhode Island rates for HCPCS 40701

Plstc Rpr Cl Lip/Nsl Dfrm Prim Bi 1 Stg Px

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,706.14 / $3,955.04 / $5,496.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$975.67 / $1,051.81 / $1,413.20
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,358.41 / $1,598.13 / $1,974.35
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,348.61 / $1,913.20 / $2,479.31
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
$1,062.01 / $1,447.26 / $2,647.84