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Rhode Island rates for HCPCS 43622

Gstrct Tot W/Frmj Intstinal Pouch Any Type

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
$2,041.60 / $2,201.55 / $3,417.26
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,195.80 / $3,039.17 / $4,322.71
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$680.00 / $680.00 / $680.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,976.56 / $3,614.83 / $5,362.50
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
$1,964.30 / $2,987.11 / $5,113.87