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Rhode Island rates for HCPCS L8042

Orbital prosthesis, provided by a nonphysician

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,866.07 / $2,172.62 / $2,533.06
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,038.45 / $8,155.73 / $9,655.43
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,907.81 / $2,244.48 / $3,753.73
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,214.74 / $3,214.74 / $3,214.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,732.53 / $3,214.74 / $3,214.74
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,840.87 / $2,439.07 / $3,551.19