go back

Rhode Island rates for HCPCS A4430

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.50 / $4.92 / $7.66
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.80 / $22.73 / $26.90
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.32 / $6.26 / $10.46
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.15 / $7.15 / $7.57
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.08 / $7.15 / $7.57
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.28 / $5.93 / $9.89