go back

Rhode Island rates for HCPCS A4413

Ostomy pouch, drainable, high output, for use on a barrier with flange (two-piece system), with filter, each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.25 / $3.17 / $4.95
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.88 / $14.71 / $17.41
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.43 / $4.04 / $6.77
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.62 / $4.62 / $5.71
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.93 / $4.62 / $5.71
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.76 / $3.84 / $6.40