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Rhode Island rates for HCPCS Q4187

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$255.11 / $255.11 / $255.11
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$245.30 / $245.30 / $255.11
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$248.37 / $485.11 / $560.94
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$211.11 / $248.37 / $248.37
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$231.42 / $245.30 / $245.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$245.30 / $245.30 / $245.30
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$245.30 / $245.30 / $245.30