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Rhode Island rates for HCPCS 15004

Prep Site F/S/N/H/F/G/M/D Gt 1st 100 Sq Cm/1pct

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,090.73 / $3,487.59 / $5,467.56
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$226.65 / $307.07 / $414.27
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$228.96 / $360.90 / $559.85
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$274.29 / $427.06 / $822.79
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
$330.30 / $446.49 / $751.17