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Rhode Island rates for HCPCS A4377

Ostomy pouch, drainable, for use on faceplate, plastic, each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.00 / $3.02 / $12.02
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.71 / $12.02 / $13.80
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.34 / $3.16 / $6.31
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.63 / $3.63 / $3.63
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.09 / $3.09 / $3.63
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.75 / $2.75 / $3.16
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.34 / $3.47 / $5.01