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Virginia rates for HCPCS A4380

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32.24 / $32.24 / $35.25
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.78 / $32.24 / $39.47
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.13 / $26.13 / $34.79
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.28 / $35.28 / $35.65
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.45 / $34.45 / $35.47
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.28 / $29.28 / $35.47
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.11 / $52.16 / $62.59
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.28 / $34.38 / $59.57
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.00 / $68.52 / $86.89
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.38 / $41.16 / $71.31
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.38 / $41.16 / $71.31
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.27 / $26.02 / $37.33