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Virginia rates for HCPCS A4367

Ostomy Belt Each (Special Coverage Instructions Apply. See Mcm: 2130a)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.33 / $6.33 / $6.95
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.89 / $6.33 / $6.95
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.79 / $4.79 / $6.37
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.95 / $6.95 / $7.03
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.18 / $6.18 / $6.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.25 / $5.25 / $7.06
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.71 / $10.25 / $12.34
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.81 / $6.78 / $11.79
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.00 / $13.47 / $17.07
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.75 / $8.10 / $14.15
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.75 / $8.01 / $13.82
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.36 / $5.11 / $7.72