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Rhode Island rates for HCPCS A5063

Ostomy pouch, drainable; for use on barrier with flange (two-piece system), each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.00 / $2.00 / $7.59
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.50 / $7.59 / $8.71
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.48 / $2.00 / $3.98
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.29 / $2.29 / $2.40
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.95 / $1.95 / $2.29
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.74 / $1.74 / $2.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.48 / $2.14 / $3.16