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Rhode Island rates for HCPCS Q4132

Grafix Core And Grafixpl Core Per Square Centimeter (Desc Revised 1/1/2018)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$110.97 / $110.97 / $110.97
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$106.70 / $106.70 / $110.97
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$262.64 / $357.22 / $396.91
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.66 / $106.70 / $106.70
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$106.70 / $106.70 / $106.70
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$106.70 / $106.70 / $106.70