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Rhode Island rates for HCPCS A4415

Ostomy skin barrier, with flange (solid, flexible or accordion), without built-in convexity, larger than 4 x 4 in, each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.46 / $3.46 / $5.39
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.83 / $15.99 / $18.94
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.74 / $4.40 / $7.36
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.03 / $5.03 / $5.33
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.28 / $5.03 / $5.33
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.01 / $4.18 / $6.96