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Rhode Island rates for HCPCS 43634

Gstrct Prtl Dstl W/Frmj Intstinal Pouch

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
$1,879.22 / $2,025.03 / $3,159.52
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,021.24 / $2,797.56 / $3,973.90
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$680.00 / $680.00 / $680.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,660.64 / $3,329.11 / $4,933.92
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
$1,531.14 / $2,393.51 / $4,475.27