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Rhode Island rates for HCPCS A4100

Nonsheet form skin substitute, FDA-cleared as a device, not otherwise specified (list in addition to primary procedure)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.79 / $87.10 / $125.89
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.02 / $0.02 / $17,782.79
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.88 / $154.88 / $288.40