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Rhode Island rates for HCPCS 64636

Dstr Nrolytc Agnt Parverteb Fct Addl Lmbr/Sacral

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,518.41 / $1,811.67 / $3,955.04
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$3,483.27 / $3,678.62 / $4,518.10
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.79 / $170.56 / $281.48
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$109.52 / $149.83 / $149.83
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.51 / $211.33 / $292.49
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.47 / $122.82 / $434.26
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
$155.63 / $249.61 / $457.49