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Rhode Island rates for HCPCS 40801

Drg Absc Cst Hmtma Vestibule Mouth Comp

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,090.73 / $2,778.87 / $3,955.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$229.66 / $288.70 / $393.13
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$247.54 / $373.71 / $531.91
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$220.78 / $389.86 / $620.04
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$540.00 / $1,183.00 / $4,915.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$263.51 / $429.80 / $666.08