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Rhode Island rates for HCPCS 88304

Level III - Surgical pathology, gross and microscopic examination Abortion, induced Abscess Aneurysm - arterial/ventricular Anus, tag Appendix, other than incidental Artery, atheromatous plaque Bartholin's gland cyst Bone fragment(s), other than pathologic fracture Bursa/synovial cyst Carpal tunnel tissue Cartilage, shavings Cholesteatoma Colon, colostomy stoma Conjunctiva - biopsy/pterygium Cornea Diverticulum - esophagus/small intestine Dupuytren's contracture tissue Femoral head, other than fracture Fissure/fistula Foreskin, other than newborn Gallbladder Ganglion cyst Hematoma Hemorrhoids Hydatid of Morgagni Intervertebral disc Joint, loose body Meniscus Mucocele, salivary Neuroma - Morton's/traumatic Pilonidal cyst/sinus Polyps, inflammatory - nasal/sinusoidal Skin - cyst/tag/debridement Soft tissue, debridement Soft tissue, lipoma Spermatocele Tendon/tendon sheath Testicular appendage Thrombus or embolus Tonsil and/or adenoids Varicocele Vas deferens, other than sterilization Vein, varicosity

Facilitymedian $79 · 10th–90th $26$2950%10%10th90th$79Professionalmedian $49 · 10th–90th $11$1950%10%10th90th$49$5.0$20.0$100.0$500.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$38.02 / $107.15 / $549.54
Aetna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$14.45 / $26.30 / $26.30
Aetna
Facility/Professional
Facility
Modifier
TC
Typical Low / Median / Typical High
$43.65 / $79.43 / $251.19
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$36.31 / $95.50 / $323.59
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$11.22 / $45.71 / $194.98
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$26.92 / $50.12 / $123.03
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$42.66 / $42.66 / $47.86
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.20 / $42.66 / $58.88
BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$7.59 / $10.96 / $15.49
BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$22.39 / $23.99 / $31.62
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$51.29 / $51.29 / $51.29
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$20.42 / $24.55 / $75.86
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$5.89 / $15.85 / $19.50
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$16.22 / $19.05 / $57.54
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$26.92 / $43.65 / $69.18
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$5.62 / $12.30 / $18.62
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$20.89 / $33.88 / $50.12