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Rhode Island rates for HCPCS A4428

Ostomy pouch, urinary, with extended wear barrier attached, with faucet-type tap with valve (one piece), each

Facilitymedian $17 · 10th–90th $5–$210%10%20%10th90th$17Professionalmedian $5 · 10th–90th $3–$100%20%10th90th$5$5.0$10.0$20.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.02 / $5.01 / $18.62
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$13.18 / $18.20 / $21.38
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.63 / $4.79 / $9.77
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.50 / $5.50 / $5.50
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.68 / $4.68 / $5.50
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.17 / $4.17 / $4.79
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.55 / $5.25 / $7.59