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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
$1.76 / $2.48 / $3.86
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.49 / $11.44 / $13.54
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.68 / $3.15 / $5.27
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.60 / $3.60 / $3.60
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.06 / $3.60 / $3.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.16 / $2.99 / $4.98