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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
$5.42 / $5.42 / $5.91
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.25 / $5.42 / $6.63
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.40 / $4.40 / $5.85
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.93 / $5.93 / $5.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.26 / $5.26 / $5.57
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.47 / $4.47 / $6.19
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.57 / $8.76 / $10.51
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.40 / $5.83 / $10.34
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.00 / $11.50 / $14.58
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.78 / $6.93 / $12.03
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.78 / $6.86 / $11.81
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.40 / $4.37 / $6.28