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Rhode Island rates for HCPCS 66174

Trluml Dilat Aqueous O/F Can Wo Retention Dev/St

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,438.26 / $3,706.14 / $4,026.21
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$687.15 / $946.67 / $1,152.41
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$628.27 / $739.14 / $1,859.88
BCBS
Facility/Professional
Professional
Modifier
55
Low / Median / High Price
$103.48 / $147.83 / $371.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$603.72 / $973.39 / $1,608.02
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,599.00 / $8,699.00 / $12,680.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$772.77 / $1,159.15 / $1,480.03