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Rhode Island rates for HCPCS 64872

Suture Nerve Req Secondary/Delayed Suture

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
$102.95 / $120.13 / $193.48
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$101.69 / $140.74 / $254.42
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.29 / $195.86 / $241.83
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
$104.30 / $159.01 / $258.63