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Rhode Island rates for HCPCS Q4137

AmnioExcel, AmnioExcel Plus or BioDExcel, per sq cm (add-on, list separately in addition to primary procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$105.78 / $105.78 / $105.78
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$101.72 / $101.72 / $105.78
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$95.96 / $101.72 / $101.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$101.72 / $101.72 / $101.72
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$101.72 / $101.72 / $101.72