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Rhode Island rates for HCPCS 43400

Ligation Direct Esophageal Varices

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
$1,399.18 / $1,453.87 / $2,202.33
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,453.90 / $2,012.32 / $2,903.71
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$680.00 / $680.00 / $680.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,300.99 / $2,400.59 / $3,547.13
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,713.00 / $6,315.00 / $12,945.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,297.94 / $1,879.65 / $3,218.80