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Rhode Island rates for HCPCS A4387

Ostomy Pouch Closed With Barrier Attached With Built-In Convexity (1 Piece) Each (Updated 01-01-2003)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.37 / $2.50 / $2.50
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.43 / $6.00 / $7.11
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.58 / $3.03 / $3.03
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.89 / $1.89 / $1.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.61 / $1.89 / $1.89
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.33 / $2.38 / $3.18