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Rhode Island rates for HCPCS 55874

Transperineal Plmt Biodegradable Matrl 1/Mlt Njx

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,088.58 / $1,543.03 / $3,955.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$177.24 / $257.18 / $4,900.17
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$202.25 / $2,402.39 / $6,178.97
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$195.29 / $380.19 / $6,337.16
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
$2,799.68 / $4,410.32 / $6,844.34