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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
$1,949.84 / $2,089.30 / $6,606.93
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,165.95 / $8,511.38 / $10,000.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,698.24 / $2,238.72 / $4,570.88
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,235.94 / $3,235.94 / $3,235.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,754.23 / $2,754.23 / $3,235.94
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$954.99 / $2,398.83 / $4,897.79
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,862.09 / $2,290.87 / $3,548.13