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Rhode Island rates for HCPCS 43762

Perq Replacement Gtube Not Req Revj Gstrst Trc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$799.80 / $1,518.41 / $3,955.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.28 / $205.30 / $325.77
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.74 / $181.34 / $296.38
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$242.89 / $242.89 / $680.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.97 / $184.91 / $489.80
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$141.00 / $911.00 / $4,915.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$202.88 / $294.82 / $501.82