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Rhode Island rates for HCPCS 67904

Rpr Blepharoptosis Levator Rescj/Advmnt Xtrnl

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,993.72 / $3,706.14 / $3,955.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$471.20 / $688.72 / $839.92
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$704.64 / $875.23 / $1,176.95
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$492.83 / $782.19 / $1,521.40
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
$531.64 / $754.99 / $1,144.31