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Rhode Island rates for HCPCS A2009

Symphony, per sq cm (add-on, list separately in addition to primary procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$51.76 / $51.76 / $51.76
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.76 / $59.63 / $79.81
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.02 / $0.02 / $0.02
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$93.13 / $93.13 / $93.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.13 / $93.13 / $93.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.30 / $91.30 / $91.30