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Rhode Island rates for HCPCS A4416

Ostomy pouch, closed, with barrier attached, with filter (one piece), each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.12 / $1.59 / $2.48
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.45 / $7.35 / $8.69
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.72 / $2.02 / $3.38
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.31 / $2.31 / $2.45
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.96 / $2.31 / $2.45
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.39 / $1.92 / $3.20