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Rhode Island rates for HCPCS A4381

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

Facilitymedian $12 · 10th–90th $3–$150%10%20%10th90th$12Professionalmedian $3 · 10th–90th $2–$70%20%10th90th$3$2.0$5.0$10.0$20.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.00 / $3.02 / $13.18
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$9.33 / $12.88 / $15.14
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.51 / $3.39 / $6.92
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.89 / $3.89 / $3.89
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.31 / $3.31 / $3.89
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.95 / $2.95 / $3.39
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.51 / $3.72 / $5.37