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Rhode Island rates for HCPCS A4426

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.12 / $1.58 / $2.46
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.40 / $7.27 / $8.61
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.71 / $2.00 / $3.35
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.29 / $2.29 / $2.42
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.95 / $2.29 / $2.42
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.38 / $1.90 / $3.17