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Rhode Island rates for HCPCS L3390

Outflare Wedge (Special Coverage Instructions Apply. See Mcm: 2323)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.47 / $32.06 / $34.58
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$82.41 / $111.30 / $131.77
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.16 / $49.55 / $51.23
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$43.99 / $43.99 / $43.99
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.11 / $43.99 / $43.99
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.57 / $31.07 / $48.46