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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
$10.00 / $14.13 / $47.86
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.67 / $47.86 / $56.23
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.55 / $12.59 / $25.70
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.85 / $15.85 / $15.85
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.77 / $13.49 / $13.49
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.96 / $10.96 / $12.59
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.33 / $13.80 / $19.95