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Rhode Island rates for HCPCS 40761

Plstc Rpr Cl Lip/Nsl Dfrm W/Cross Lip Pedcl Flap

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
$961.67 / $1,120.11 / $1,394.19
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,230.84 / $1,448.06 / $2,144.91
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,224.17 / $1,734.31 / $2,252.54
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
$908.30 / $1,283.03 / $2,405.30