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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
$28.18 / $39.81 / $131.83
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$97.72 / $131.83 / $154.88
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.30 / $34.67 / $70.79
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.81 / $39.81 / $39.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.88 / $33.88 / $39.81
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.20 / $30.20 / $34.67
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.30 / $38.02 / $54.95