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Rhode Island rates for HCPCS Q4196

PuraPly Antimicro 3.76x3.76CM EX SHEE

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$105.07 / $105.07 / $105.07
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$101.03 / $101.03 / $105.07
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$111.59 / $204.75 / $252.03
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$94.85 / $111.59 / $111.59
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$95.31 / $101.03 / $101.03
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$101.03 / $101.03 / $101.03
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$101.03 / $101.03 / $101.03