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Rhode Island rates for HCPCS 40804

Rmvl Embedded Fb Vestibule Mouth Smpl

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,706.14 / $3,706.14 / $3,955.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$127.94 / $171.47 / $267.91
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$160.68 / $234.23 / $371.16
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.35 / $243.93 / $407.09
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,395.00 / $2,384.00 / $5,510.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$179.84 / $282.17 / $409.00