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Rhode Island rates for HCPCS 43122

Prtl Esophg Thoracoabd W/Wo Proxgastrec/Pyloropl

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
$2,312.86 / $2,447.58 / $3,821.66
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,660.42 / $3,372.44 / $4,223.76
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$680.00 / $680.00 / $680.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,149.75 / $4,014.31 / $5,891.13
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,551.00 / $3,539.00 / $7,205.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,281.38 / $3,442.14 / $5,338.92