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Rhode Island rates for HCPCS 53661

Dilat Female Urt W/Suppository&/Instlj Sbsq

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
$41.41 / $72.70 / $99.37
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.39 / $79.31 / $114.87
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.85 / $90.00 / $143.44
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
$63.33 / $99.36 / $153.72