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West Virginia rates for HCPCS A4377

Ostomy Pouch Drainable For Use On Faceplate Plastic Each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.30 / $3.30 / $3.30
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.30 / $3.67 / $4.05
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.89 / $8.09 / $10.48
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.89 / $4.19 / $7.19
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.60 / $3.60 / $7.02
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.06 / $3.60 / $28.97
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.19 / $2.99 / $4.98