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Rhode Island rates for HCPCS Q4221

Amniowrap2 Per Square Centimeter

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,039.44 / $2,039.44 / $2,039.44
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,961.00 / $1,961.00 / $2,039.44
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,014.00 / $3,933.70 / $4,548.62
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,510.50 / $2,014.00 / $2,014.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,850.00 / $1,961.00 / $1,961.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,961.00 / $1,961.00 / $1,961.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,961.00 / $1,961.00 / $1,961.00