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Rhode Island rates for HCPCS A4393

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.71 / $5.21 / $8.13
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.87 / $24.11 / $28.54
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.64 / $6.64 / $11.10
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.59 / $7.59 / $8.03
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.45 / $7.59 / $8.03
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.80 / $6.30 / $10.50