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Rhode Island rates for HCPCS 54690

Laparoscopy Surgical Orchiectomy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,706.14 / $3,955.04 / $4,937.68
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$662.91 / $731.44 / $905.90
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$689.63 / $811.33 / $1,442.69
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$300.00 / $889.44 / $1,366.01
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,596.00 / $7,457.00 / $12,945.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$598.11 / $844.39 / $1,425.99