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Virginia rates for HCPCS A4379

Ostomy pouch, urinary, with faceplate attached, plastic, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.97 / $12.97 / $14.18
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.57 / $12.97 / $15.88
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.51 / $10.51 / $13.99
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.19 / $14.19 / $14.34
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.91 / $13.91 / $14.33
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.56 / $11.82 / $14.33
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.74 / $20.98 / $25.18
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.75 / $13.96 / $24.18
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.00 / $27.56 / $34.95
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.83 / $16.55 / $28.69
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.83 / $16.55 / $28.69
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.99 / $10.47 / $15.02