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Rhode Island rates for HCPCS 15130

Dermal Autograft Trunk/Arm/Leg 1st 100 Cm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,090.73 / $2,778.87 / $3,955.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$428.41 / $560.82 / $707.90
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$533.79 / $752.92 / $1,052.01
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$632.83 / $816.13 / $1,484.18
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,569.00 / $4,571.00 / $7,350.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$555.03 / $921.04 / $1,240.89