go back

Rhode Island rates for HCPCS A5053

Ostomy Pouch Closed; For Use On Faceplate Each (Updated 01-01-2003)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.72 / $0.91 / $1.35
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.43 / $4.59 / $5.44
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.09 / $1.28 / $2.12
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.19 / $1.37 / $1.37
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.98 / $1.15 / $1.37
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.87 / $1.21 / $2.00