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Rhode Island rates for HCPCS Q4170

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.89 / $40.89 / $40.89
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.31 / $39.31 / $40.89
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37.09 / $39.31 / $39.31
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.31 / $39.31 / $39.31
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.31 / $39.31 / $39.31