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West Virginia rates for HCPCS A4389

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

Facilitymedian $4 · 10th–90th $4–$140%50%90th$4Professionalmedian $5 · 10th–90th $4–$70%20%40%10th90th$5$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. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.98 / $3.98 / $3.98
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.98 / $5.01 / $7.08
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.62 / $5.62 / $11.75
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.03 / $6.03 / $10.47
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.25 / $13.80 / $13.80
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.47 / $4.47 / $41.69
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.16 / $3.39 / $5.62
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.31 / $5.01 / $7.41