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Rhode Island rates for HCPCS A4417

Ostomy pouch, closed, with barrier attached, with built-in convexity, with filter (one piece), each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.46 / $2.15 / $2.93
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.34 / $9.94 / $11.78
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.74 / $2.74 / $4.58
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.13 / $3.13 / $3.60
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.66 / $3.13 / $3.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.98 / $2.98 / $4.33