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West Virginia rates for HCPCS A4388

Ostomy Pouch Drainable With Extended Wear Barrier Attached (1 Piece) Each (Updated 01-01-2003)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.36 / $3.36 / $3.36
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.36 / $3.74 / $4.12
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.96 / $7.61 / $10.66
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.96 / $4.26 / $7.31
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.66 / $3.88 / $7.14
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.11 / $3.66 / $29.45
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.35 / $2.78 / $2.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.23 / $3.05 / $5.45