go back

West Virginia rates for HCPCS A4387

Ostomy pouch, closed, with barrier attached, with built-in convexity (one piece), each

Facilitymedian $1 · 10th–90th $1–$40%50%90th$1Professionalmedian $2 · 10th–90th $1–$20%20%40%10th90th$2$1.0$2.0$5.0$10.0

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.00 / $1.00 / $1.00
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.00 / $1.00 / $2.00
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.04 / $2.04 / $4.27
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.19 / $2.19 / $3.80
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.91 / $5.01 / $5.01
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.62 / $1.62 / $15.14
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.20 / $1.45 / $3.98
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.48 / $2.75 / $4.17