go back

Rhode Island rates for HCPCS J0130

Injection Abciximab 10 Mg (Special Coverage Instructions Apply. See Mcm: 2049)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,257.92 / $5,257.92 / $5,257.92
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,294.26 / $1,294.26 / $1,375.15
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,172.92 / $1,172.92 / $1,303.24
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,429.07 / $1,429.07 / $1,429.07
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,429.07 / $1,429.07 / $1,429.07
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$540.02 / $1,388.63 / $1,388.63