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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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.22 / $4.72 / $6.41
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.14 / $21.81 / $25.81
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.11 / $6.01 / $10.03
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.86 / $6.86 / $7.64
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.83 / $6.86 / $7.64
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.34 / $6.54 / $9.49