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Rhode Island rates for HCPCS A4413

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

Facilitymedian $14 · 10th–90th $4–$180%10%20%10th90th$14Professionalmedian $4 · 10th–90th $3–$80%20%10th90th$4$5.0$10.0$20.0

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
$3.02 / $3.98 / $15.49
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$11.22 / $15.14 / $17.78
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.02 / $4.07 / $8.13
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.57 / $4.57 / $4.57
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.89 / $3.89 / $4.57
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.47 / $3.47 / $3.98
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.02 / $4.37 / $6.46