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Rhode Island rates for HCPCS Q2004

Bladder Calculi Irrig Sol

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$394.65 / $394.65 / $394.65
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.14 / $97.14 / $103.22
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$103.22 / $107.26 / $113.33
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.29 / $109.29 / $109.29
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.06 / $101.19 / $101.19