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West Virginia rates for HCPCS A4330

Perianal Fecal Collection Pouch With Adhesive Each (Special Coverage Instructions Apply. See Mcm: 2130)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.69 / $4.69 / $4.69
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.69 / $5.40 / $6.77
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.36 / $12.77 / $14.89
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.53 / $12.01 / $19.73
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.74 / $11.74 / $11.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.11 / $5.11 / $45.45
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.24 / $4.86 / $8.53