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Rhode Island rates for HCPCS J2504

Injection Pegademase Bovine 25 Iu

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,353.82 / $1,353.82 / $1,353.82
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$333.25 / $333.25 / $354.08
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$544.19 / $604.65 / $798.55
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$367.96 / $367.96 / $367.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$367.96 / $367.96 / $367.96
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$357.54 / $357.54 / $357.54