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Rhode Island rates for HCPCS 42310

Drg Absc Submaxillary/Sublingual Intraoral

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,518.41 / $1,543.03 / $3,955.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$126.44 / $160.69 / $207.36
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$156.54 / $196.26 / $246.77
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$443.00 / $443.00 / $507.42
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$161.16 / $248.95 / $410.99
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$320.00 / $1,183.00 / $4,915.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$149.74 / $196.54 / $373.52