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West Virginia rates for HCPCS A4328

Female External Urinary Collection Device; Pouch Each (Special Coverage Instructions Apply. See Mcm: 2130)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.80 / $7.80 / $7.80
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.80 / $8.40 / $9.85
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.56 / $19.86 / $24.75
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.19 / $17.35 / $32.78
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.94 / $16.94 / $16.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.70 / $5.95 / $5.95
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.88 / $7.13 / $14.14