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Rhode Island rates for HCPCS A5054

Ostomy pouch, closed; for use on barrier with flange (two piece), each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.74 / $1.03 / $1.62
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.56 / $4.79 / $5.67
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.12 / $1.32 / $2.21
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.25 / $1.51 / $1.60
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.28 / $1.51 / $1.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.88 / $1.25 / $2.09