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West Virginia rates for HCPCS A4381

Ostomy pouch, urinary, for use on faceplate, plastic, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.57 / $3.57 / $3.57
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.57 / $3.96 / $4.37
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.20 / $8.72 / $11.31
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.20 / $4.51 / $7.75
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.88 / $3.88 / $7.57
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.30 / $3.88 / $31.23
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.35 / $3.23 / $5.38