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West 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
$23.70 / $23.70 / $23.70
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.70 / $26.33 / $29.03
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.92 / $58.00 / $75.18
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.92 / $30.07 / $51.55
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.81 / $25.81 / $50.34
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.94 / $25.81 / $207.79
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.68 / $21.43 / $39.97