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Rhode Island rates for HCPCS A4367

Ostomy Belt Each (Special Coverage Instructions Apply. See Mcm: 2130a)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.89 / $4.04 / $5.55
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.53 / $19.63 / $23.24
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.59 / $5.40 / $9.03
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.18 / $6.50 / $6.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.25 / $6.18 / $6.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.70 / $5.13 / $8.55