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Rhode Island rates for HCPCS J7308

Aminolevulinic acid HCl for topical administration, 20%, single unit dosage form (354 mg)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,274.29 / $1,274.29 / $1,274.29
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$392.09 / $396.01 / $431.22
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$393.87 / $393.87 / $416.17
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$392.09 / $392.09 / $392.09
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$369.90 / $392.09 / $553.36
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$392.09 / $392.09 / $392.09
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$156.84 / $392.09 / $392.09