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Rhode Island rates for HCPCS 64857

Sutr Prph Nrv Arm/Leg Xcp Sciatic W/O Trpos

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
$922.26 / $1,264.27 / $1,742.25
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$940.39 / $1,301.58 / $2,250.56
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,301.58 / $1,667.00 / $2,178.12
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,219.00 / $7,228.00 / $12,680.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$938.24 / $1,466.00 / $2,439.94