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Rhode Island rates for HCPCS A4470

Gravlee Jet Washer (Special Coverage Instructions Apply. See Cim: 50-4 And Mcm: 2320)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.40 / $2.40 / $2.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.40 / $2.97 / $4.21
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.57 / $3.57 / $3.57
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.97 / $3.96 / $4.92