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West Virginia rates for HCPCS A4391

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.45 / $5.45 / $5.45
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.45 / $6.06 / $6.67
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.42 / $13.32 / $17.27
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.42 / $6.91 / $11.84
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.93 / $6.28 / $11.57
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.04 / $5.93 / $47.77
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.61 / $4.93 / $8.21