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Rhode Island rates for HCPCS 57155

Insertion of uterine tandem and/or vaginal ovoids for clinical brachytherapy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,090.73 / $2,778.87 / $3,955.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$236.52 / $300.33 / $459.23
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$328.51 / $503.83 / $835.08
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$272.64 / $581.52 / $783.28
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,069.00 / $1,788.00 / $4,602.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$353.16 / $542.94 / $821.49