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Rhode Island rates for HCPCS 64612

Chemodnrvtj Musc Musc Innervated Facial Nrv Unil

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$416.64 / $1,518.41 / $3,955.04
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$833.28 / $833.28 / $833.28
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$118.56 / $149.71 / $215.84
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$282.20 / $312.39 / $351.48
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$119.92 / $148.21 / $291.27
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$165.95 / $234.17 / $277.33
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$540.00 / $1,401.00 / $4,915.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$121.35 / $190.49 / $292.38