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Rhode Island rates for HCPCS 40702

Plstc Rpr Cl Lip/Nsl Dfrm Prim Bi 1 2 Stgs

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,424.15 / $3,243.94 / $3,955.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$916.60 / $1,035.53 / $1,044.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,143.40 / $1,345.18 / $1,746.42
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,134.25 / $1,606.79 / $2,080.87
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
$842.90 / $1,215.77 / $2,222.66