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Rhode Island rates for HCPCS Q4140

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.18 / $162.18 / $302.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$234.42 / $281.84 / $371.54
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$151.36 / $162.18 / $162.18
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.18 / $162.18 / $162.18
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.89 / $162.18 / $371.54