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Rhode Island rates for HCPCS 67025

Inj Substitute Pars Plana/Limbl W/Wo Aspir Spx

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,518.41 / $1,543.03 / $3,955.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$635.62 / $723.82 / $828.56
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$742.01 / $872.95 / $1,240.55
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$522.16 / $827.82 / $1,577.62
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,654.00 / $4,628.00 / $7,350.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$530.79 / $782.64 / $1,134.94