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Rhode Island rates for HCPCS J2460

Oxytetracycline Injection

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.58 / $3.58 / $3.58
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.88 / $0.88 / $0.94
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.94 / $0.94 / $0.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.94 / $0.94 / $0.94
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.94 / $0.94 / $0.94