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Rhode Island rates for HCPCS 17004

Destruction Premalignant Lesion 15/>

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
$91.29 / $134.91 / $176.93
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.77 / $141.47 / $237.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.15 / $181.04 / $323.45
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$540.00 / $1,401.00 / $4,915.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$129.34 / $202.88 / $347.52