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Rhode Island rates for HCPCS A4392

Ostomy pouch, urinary, with standard wear barrier attached, with built-in convexity (one piece), each

Facilitymedian $21 · 10th–90th $6–$260%10%20%10th90th$21Professionalmedian $6 · 10th–90th $4–$120%20%10th90th$6$5.0$10.0$20.0$50.0

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
$3.98 / $6.03 / $23.44
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$16.60 / $22.91 / $26.30
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.47 / $6.03 / $12.02
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6.92 / $6.92 / $6.92
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.89 / $5.89 / $6.92
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.25 / $5.25 / $6.03
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.47 / $6.61 / $9.55