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Rhode Island rates for HCPCS A6261

Wound Filler Gel/Paste Per Fluid Ounce Not Otherwise Specified

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.60 / $1.60 / $1.60
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.51 / $1.83 / $2.59
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.90 / $111.13 / $128.51
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.37 / $56.90 / $92.70
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.00 / $34.00 / $34.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.21 / $1.88 / $3.17