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Rhode Island rates for HCPCS Q4158

Kerecis Omega3, per sq cm (add-on, list separately in addition to primary procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$69.95 / $69.95 / $69.95
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.27 / $67.27 / $69.95
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$63.47 / $67.27 / $67.27
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.27 / $67.27 / $67.27
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.27 / $67.27 / $67.27