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Rhode Island rates for HCPCS A4391

Ostomy pouch, urinary, with extended wear barrier attached (one piece), each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.90 / $4.08 / $6.36
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.97 / $18.85 / $22.32
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.41 / $5.19 / $8.68
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.93 / $5.93 / $6.28
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.04 / $5.93 / $6.28
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.55 / $4.93 / $8.21