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Rhode Island rates for HCPCS 15135

Dermal Autograft F/S/N/H/F/G/M/D Gt 1st 100

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
$552.95 / $710.22 / $910.54
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$673.63 / $910.72 / $1,296.79
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$799.58 / $978.58 / $1,796.04
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,838.00 / $5,111.00 / $9,622.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$722.08 / $1,114.71 / $1,868.89