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Rhode Island rates for HCPCS A4387

Ostomy pouch, closed, with barrier attached, with built-in convexity (one piece), each

Facilitymedian $6 · 10th–90th $2–$70%20%10th90th$6Professionalmedian $2 · 10th–90th $1–$40%20%40%10th90th$2$1.0$2.0$5.0$10.0

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
$1.00 / $1.00 / $6.31
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.57 / $6.31 / $7.24
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.29 / $3.02 / $4.27
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.91 / $1.91 / $1.91
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.62 / $1.62 / $1.91
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.45 / $1.45 / $3.16
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.48 / $2.40 / $3.98