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Rhode Island rates for HCPCS 15150

Cltr Skin Autograft T/A/L 1st 25 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
$465.73 / $624.71 / $725.22
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$564.10 / $730.35 / $1,040.31
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$679.69 / $814.34 / $1,444.36
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,806.00 / $3,465.00 / $5,510.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$564.79 / $893.30 / $1,310.36