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Rhode Island rates for HCPCS 12021

Tx Superficial Wound Dehiscence W/Packing

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,518.41 / $1,543.03 / $3,955.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.71 / $133.09 / $164.87
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.07 / $184.19 / $250.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$170.08 / $228.55 / $352.32
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$540.00 / $1,401.00 / $4,915.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$132.63 / $185.52 / $308.20