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Rhode Island rates for HCPCS A4375

Ostomy Pouch Drainable With Faceplate Attached Plastic Each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.05 / $9.91 / $15.44
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.93 / $45.82 / $54.24
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.72 / $12.61 / $21.09
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.93 / $15.93 / $15.93
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.78 / $9.78 / $13.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.61 / $13.70 / $19.95