go back

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
$28.78 / $28.78 / $28.78
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.78 / $31.98 / $35.25
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.90 / $70.42 / $91.28
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.90 / $36.51 / $62.59
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.45 / $34.45 / $61.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.28 / $34.45 / $36.86
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.04 / $26.02 / $43.37