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Rhode Island rates for HCPCS 53621

Dilat Urethral Strix Filiform & Follwr Male Sbsq

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
$72.56 / $113.71 / $157.03
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.91 / $139.88 / $199.65
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$90.00 / $149.50 / $316.79
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$540.00 / $1,183.00 / $4,915.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$122.09 / $172.09 / $270.10