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Rhode Island rates for HCPCS 12004

Simple Rpr Scalp/Neck/Ax/Genit/Trunk 7.6-12.5cm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$345.60 / $1,518.41 / $3,955.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.99 / $97.82 / $141.44
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.79 / $117.56 / $185.27
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76.54 / $142.78 / $265.17
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$416.84 / $1,183.00 / $4,915.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$113.19 / $183.80 / $279.55