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Rhode Island rates for HCPCS 84255

Selenium

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$41.69 / $75.86 / $162.18
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.05 / $22.39 / $23.99
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.51 / $31.62 / $51.29
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.30 / $14.45 / $43.65
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.99 / $60.26 / $107.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.62 / $19.50 / $36.31
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.90 / $30.90 / $30.90
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.48 / $21.38 / $50.12