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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
$3.02 / $3.02 / $3.02
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.02 / $3.02 / $3.98
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.89 / $3.89 / $8.13
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.17 / $4.17 / $7.24
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.63 / $9.55 / $9.55
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.09 / $3.09 / $28.84
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.29 / $2.75 / $3.89
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.29 / $3.47 / $5.13