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West Virginia rates for HCPCS A4385

Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, without built-in convexity, each

Facilitymedian $7 · 10th–90th $3–$110%20%10th90th$7Professionalmedian $4 · 10th–90th $3–$60%20%40%10th90th$4$2.0$5.0$10.0$20.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.02 / $3.02 / $3.02
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.95 / $3.98 / $6.03
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.08 / $8.91 / $11.75
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.08 / $11.75 / $16.60
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.27 / $11.48 / $11.48
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.63 / $3.63 / $34.67
Highmark BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.01 / $5.01 / $5.01
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.57 / $2.75 / $4.68
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.75 / $4.07 / $6.17