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Rhode Island rates for HCPCS A6025

Gel Sheet For Dermal Or Epidermal Application (E.G. Silicone Hydrogel Other) Each. (Rvsd 1/1/04)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.41 / $9.41 / $9.41
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.27 / $11.21 / $15.87
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.47 / $13.47 / $13.47
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.42 / $11.81 / $19.39