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Rhode Island rates for HCPCS Q4108

Integra matrix, per sq cm (add-on, list separately in addition to primary procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.08 / $40.08 / $40.08
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.54 / $38.54 / $40.08
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.36 / $38.54 / $38.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.54 / $38.54 / $38.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.54 / $38.54 / $38.54