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Virginia rates for HCPCS A4388

Ostomy pouch, drainable, with extended wear barrier attached, (one piece), each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.77 / $3.77 / $4.12
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.96 / $3.77 / $4.62
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.05 / $3.05 / $4.05
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.12 / $4.12 / $4.17
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.66 / $3.66 / $4.07
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.11 / $3.11 / $4.30
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.57 / $6.09 / $7.31
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.67 / $4.05 / $7.02
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.00 / $8.00 / $10.15
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.01 / $4.83 / $8.38
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.01 / $4.78 / $8.23
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.75 / $2.35 / $2.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.31 / $3.04 / $4.36