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Rhode Island rates for HCPCS E0300

Pediatric Crib Hospital Grade Fully Enclosed With Or Without Top Enclosure (Revised 01/01/13)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,047.08 / $1,411.51 / $1,493.53
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$179.64 / $350.87 / $405.72
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$152.69 / $179.64 / $179.64
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,950.00 / $1,950.00 / $1,950.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,657.50 / $1,950.00 / $1,950.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,090.71 / $1,314.73 / $2,270.90