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Rhode Island rates for HCPCS J7340

Carbidopa 5 Mg/Levodopa 20 Mg Enteral Suspension 100 Ml (Desc Revised 01/01/2017) Dermal And Epidermal (Substitute) Tissue Of Humanorigin With Or Without Bioengineered Or Processed Elements With Metabolically Active Elements Per Square Centimeter (Del 12/31/08)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$791.73 / $791.73 / $791.73
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$243.61 / $246.04 / $253.35
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$238.54 / $243.15 / $256.91
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$243.61 / $243.61 / $243.61
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$229.82 / $243.61 / $330.33
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$243.61 / $243.61 / $243.61
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.44 / $243.61 / $243.61