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Virginia rates for HCPCS A4376

Ostomy pouch, drainable, with faceplate attached, rubber, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$41.09 / $41.09 / $44.92
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.67 / $41.09 / $50.33
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.31 / $33.31 / $44.35
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.96 / $44.96 / $45.44
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.94 / $39.94 / $39.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.95 / $33.95 / $46.99
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.86 / $66.48 / $79.78
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.20 / $43.83 / $75.91
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.00 / $87.31 / $110.72
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$43.83 / $52.46 / $90.89
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.83 / $52.46 / $90.89
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.84 / $33.17 / $46.99