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Virginia rates for HCPCS A4330

Perianal fecal collection pouch with adhesive, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.26 / $5.26 / $6.77
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.69 / $5.26 / $7.57
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.15 / $4.15 / $6.32
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.70 / $5.70 / $5.70
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.01 / $6.01 / $11.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.11 / $5.11 / $5.11
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.51 / $10.64 / $16.02
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.26 / $7.62 / $12.60
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.60 / $13.00 / $19.94
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.08 / $7.64 / $15.33
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.08 / $7.64 / $15.33
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.99 / $4.86 / $7.51