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Rhode Island rates for HCPCS 75809

Shuntogram Indwelling Nonvascular Shunt Rs&I

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$143.06 / $143.06 / $143.06
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.79 / $88.51 / $98.79
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.56 / $101.51 / $209.86
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.61 / $124.48 / $186.22
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.63 / $97.61 / $181.88