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West Virginia rates for HCPCS A4379

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.57 / $11.57 / $11.57
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.57 / $12.86 / $14.18
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.64 / $28.32 / $36.72
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.64 / $14.69 / $25.18
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.91 / $13.91 / $24.59
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.56 / $13.91 / $14.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.66 / $10.47 / $17.45