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Rhode Island rates for HCPCS 15275

Sub Grft F/S/N/H/F/G/M/D <100sq Cm 1st 25 Sq Cm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,002.95 / $2,778.87 / $4,191.93
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.61 / $114.13 / $151.52
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.26 / $141.05 / $225.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.88 / $170.47 / $322.36
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,812.00 / $4,049.00 / $5,510.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.63 / $206.94 / $345.54