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Rhode Island rates for HCPCS A4376

Ostomy Pouch Drainable With Faceplate Attached Rubber Each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.51 / $27.45 / $42.79
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$94.01 / $126.95 / $150.29
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.70 / $34.94 / $58.43
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.94 / $39.94 / $39.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.95 / $39.94 / $39.94
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.89 / $33.17 / $55.28