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Rhode Island rates for HCPCS J0470

Dimecaprol Injection

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$208.59 / $208.59 / $208.59
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.34 / $51.34 / $54.55
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.55 / $59.81 / $63.19
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.43 / $57.76 / $57.76
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.55 / $54.55 / $54.55
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.55 / $54.55 / $54.55
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.92 / $56.42 / $56.42