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Rhode Island rates for HCPCS 75574

Cta Hrt Cornry Art/Bypass Grfts Contrst 3d Post

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$715.70 / $715.70 / $995.76
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$263.20 / $384.45 / $1,876.56
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$87.53 / $119.07 / $626.00
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$175.68 / $266.22 / $288.69
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$346.89 / $476.51 / $910.12
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$113.10 / $161.57 / $219.99
BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$220.46 / $314.94 / $314.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$330.78 / $680.66 / $819.23
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$102.96 / $213.88 / $239.48
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$232.26 / $453.26 / $632.58
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$365.59 / $604.04 / $856.39
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$101.71 / $149.37 / $239.18
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$244.69 / $359.62 / $651.41