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Rhode Island rates for HCPCS A4330

Perianal Fecal Collection Pouch With Adhesive Each (Special Coverage Instructions Apply. See Mcm: 2130)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.92 / $3.92 / $3.92
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.92 / $4.37 / $7.57
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.40 / $18.97 / $21.41
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.23 / $4.98 / $8.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.11 / $5.11 / $5.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.61 / $4.75 / $7.88