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Rhode Island rates for HCPCS J1743

Injection, idursulfase, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,815.00 / $1,815.00 / $1,815.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$558.46 / $558.46 / $580.79
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$549.08 / $558.55 / $590.17
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$558.46 / $558.46 / $558.46
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$526.85 / $558.46 / $558.46
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$558.46 / $558.46 / $558.46
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$558.46 / $558.46 / $558.46