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Rhode Island rates for HCPCS 15131

Dermal Autograft Trunk/Arm/Leg Ea 100 Cm/Ea

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
$59.46 / $85.20 / $106.46
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.55 / $101.58 / $155.60
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.75 / $111.14 / $196.79
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$437.00 / $1,183.00 / $4,915.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.58 / $127.62 / $188.39