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Rhode Island rates for HCPCS A4435

Ostomy pouch, drainable, high output, with extended wear barrier (one-piece system), with or without filter, each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.02 / $3.98 / $11.22
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.75 / $15.85 / $18.62
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.31 / $4.37 / $8.51
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.79 / $4.79 / $4.79
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.07 / $4.07 / $4.79
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.63 / $3.63 / $4.27
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.16 / $5.01 / $6.76