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Rhode Island rates for HCPCS A4500

Surgical Stockings Below Knee Length Each (Not Covered By Medicare. See Cim: 60-9 And Mcm: 2133 2079)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.00 / $2.00 / $2.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.89 / $2.29 / $3.24
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.74 / $60.04 / $69.43
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.13 / $34.15 / $50.08
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.12 / $2.12 / $2.12
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.52 / $3.02 / $3.79