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Rhode Island rates for HCPCS J2720

Injection Protamine Sulfate Per 10 Mg (Special Coverage Instructions Apply. See Mcm: 2049)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.69 / $27.12 / $81.69
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.75 / $1.75 / $1.81
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.64 / $1.64 / $3.16
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.75 / $1.75 / $1.75
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.65 / $1.74 / $1.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.74 / $1.74 / $1.74
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.85 / $1.75 / $1.75