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Virginia rates for HCPCS A4378

Ostomy pouch, drainable, for use on faceplate, rubber, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.55 / $26.55 / $29.03
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.70 / $26.55 / $32.51
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.53 / $21.53 / $28.66
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.06 / $29.06 / $29.06
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.81 / $25.81 / $25.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.94 / $21.94 / $30.36
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.22 / $42.96 / $51.55
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.76 / $28.32 / $49.06
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.00 / $56.43 / $71.56
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.32 / $33.90 / $58.73
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.32 / $33.90 / $58.73
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.70 / $21.43 / $30.75