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Rhode Island rates for HCPCS 42665

Ligation Salivary Duct Intraoral

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,706.14 / $3,955.04 / $5,496.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$209.32 / $310.51 / $401.04
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$252.72 / $374.14 / $503.31
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,325.00 / $1,325.00 / $2,591.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$271.41 / $428.85 / $765.83
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,569.00 / $3,447.00 / $7,350.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$272.73 / $442.38 / $762.17