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Rhode Island rates for HCPCS 67115

Release Encircling Material Posterior Segment

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
$503.13 / $548.91 / $556.46
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$502.49 / $591.16 / $959.37
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$392.74 / $582.51 / $1,046.42
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,654.00 / $4,628.00 / $8,439.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$400.40 / $500.94 / $781.74