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Virginia rates for HCPCS A4373

Ostomy skin barrier, with flange (solid, flexible or accordion), with built-in convexity, any size, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.01 / $5.01 / $5.01
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.02 / $5.01 / $7.08
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.37 / $4.37 / $9.12
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.89 / $5.89 / $6.17
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.25 / $5.25 / $5.62
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.47 / $4.47 / $5.25
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.76 / $8.91 / $12.59
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.37 / $6.31 / $9.33
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.80 / $6.46 / $11.75
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.79 / $5.37 / $5.89
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.17 / $7.94 / $30.90
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.17 / $7.76 / $25.70
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.51 / $3.39 / $4.27
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.63 / $4.37 / $6.76