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Rhode Island rates for HCPCS J2760

Injection, phentolamine mesylate, up to 5 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,404.06 / $1,404.06 / $1,404.06
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$432.02 / $432.02 / $449.30
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$436.51 / $436.51 / $499.77
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$432.02 / $432.02 / $432.02
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$407.57 / $432.02 / $432.02
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$432.02 / $432.02 / $432.02
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.29 / $432.02 / $432.02