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Rhode Island rates for HCPCS A4425

Ostomy pouch, drainable; for use on barrier with nonlocking flange, with filter (two-piece system), each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.41 / $2.06 / $2.81
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.08 / $9.53 / $11.30
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.24 / $2.63 / $4.38
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.01 / $3.01 / $3.19
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.56 / $2.56 / $2.56
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.80 / $2.50 / $4.16