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Rhode Island rates for HCPCS 53085

Drg Perineal Urinary Xtrvasation Complic

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
$653.24 / $670.36 / $879.85
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$683.85 / $804.53 / $1,292.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$150.00 / $992.67 / $1,361.49
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,654.00 / $3,447.00 / $7,350.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$653.94 / $928.61 / $1,280.26