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Rhode Island rates for HCPCS 43763

Perq Replacement Gtube Req Revj Gstrst Trc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,518.41 / $1,543.03 / $3,955.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.50 / $296.77 / $427.17
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$98.72 / $303.22 / $436.91
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$242.89 / $242.89 / $680.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$118.86 / $280.20 / $724.91
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$320.00 / $1,183.00 / $4,915.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$308.68 / $453.94 / $742.69