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West 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
$3.98 / $3.98 / $3.98
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.98 / $5.01 / $7.08
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.75 / $6.17 / $11.75
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.17 / $6.17 / $10.47
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.25 / $14.13 / $14.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.47 / $4.47 / $42.66
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.39 / $3.98 / $5.75
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.39 / $5.01 / $7.59