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West Virginia rates for HCPCS A4380

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.18 / $28.18 / $28.18
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.18 / $33.11 / $40.74
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.88 / $33.88 / $70.79
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.31 / $36.31 / $63.10
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.67 / $83.18 / $83.18
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.38 / $29.51 / $251.19
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.95 / $23.99 / $33.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.95 / $30.20 / $44.67