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Rhode Island rates for HCPCS Q4159

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$213.15 / $213.15 / $213.15
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.96 / $204.96 / $213.15
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$193.35 / $204.96 / $204.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.96 / $204.96 / $204.96
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.96 / $204.96 / $204.96