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Rhode Island rates for HCPCS A4389

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.45 / $3.59 / $4.87
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.28 / $16.55 / $19.61
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.55 / $4.55 / $7.62
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.22 / $5.78 / $5.93
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.44 / $5.22 / $5.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.05 / $4.33 / $7.22